DOUGLAS SCOTT REEVE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

INOPERATIVE

Business

First Name

DOUGLAS

Middle

SCOTT

Last Name

REEVE

Business Name

DOUGLAS SCOTT REEVE

Original Issue Date

02/23/2006

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2018