CLAYTON GERALD PARKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

CLAYTON

Middle

GERALD

Last Name

PARKS

Business Name

CLAYTON GERALD PARKS MD

Original Issue Date

09/05/2019

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

NEWARK

State

Zip

94560

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023