CONSTANCE O CLEAVES - Medical Doctor License in Illinois | # 125047402

CONSTANCE O CLEAVES

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047402

License Status

EXPIRED

Business

N

First Name

CONSTANCE

Middle

O

Last Name

CLEAVES

Business Name

CONSTANCE O CLEAVES

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

07/03/2007