SAMUEL T CLANTON MD - Medical Doctor License in Illinois | # 125063911

SAMUEL T CLANTON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063911

License Status

EXPIRED

Business

N

First Name

SAMUEL

Middle

T

Last Name

CLANTON

Suffix

MD

Business Name

SAMUEL T CLANTON MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

State

IL

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

N

LastModifiedDate

09/19/2017