A radiation image read-out and reproducing apparatus comprises a section for feeding a stimulable phosphor sheet carrying a radiation image stored thereon, a section for feeding a recording sheet, a section for photoelectrically reading ID information, and a light beam scanning section. The light beam scanning section comprises a read-out main scanning system for scanning a light beam in a main scanning direction on the stimulable phosphor sheet, a reproducing main scanning system for scanning a light beam in a main scanning direction on the recording sheet, and a sub-scanning system for moving the stimulable phosphor sheet and the recording sheet in a sub-scanning direction, thereby to read out a radiation image from a stimulable phosphor sheet and to reproduce a radiation image and ID information on a recording sheet by modulating the light beam in the reproducing main scanning system in accordance with a radiation image read out and information detected by the ID information reading section.