REYNOLD R LYSTILA Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001981

License Status

INACTIVE

Business

First Name

REYNOLD R

Last Name

LYSTILA

Business Name

REYNOLD R LYSTILA

Original Issue Date

06/12/1953

Effective Date

06/12/1953

Expiration Date

01/31/1999

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/25/2006