JACLYNN R CLASEN MD - Medical Doctor License in Illinois | # 036069679

JACLYNN R CLASEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069679

License Status

NOT RENEWED

Business

N

First Name

JACLYNN R

Last Name

CLASEN

Suffix

MD

Business Name

JACLYNN R CLASEN MD

Original Issue Date

10/17/1984

Effective Date

06/05/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021