CLINTON JAMES WENTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046594

License Status

ACTIVE

Business

First Name

CLINTON JAMES

Last Name

WENTZ

Suffix

Business Name

CLINTON JAMES WENTZ MD

Original Issue Date

10/19/1972

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/24/2023