CLAY F HALLBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077785

License Status

NOT RENEWED

Business

First Name

CLAY F

Last Name

HALLBERG

Business Name

CLAY F HALLBERG

Original Issue Date

10/05/1988

Effective Date

10/05/1988

Expiration Date

07/31/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006