GARRETT M CLANTON II Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093394

License Status

NOT RENEWED

Business

First Name

GARRETT M

Last Name

CLANTON II

Business Name

GARRETT M CLANTON II

Original Issue Date

07/05/1996

Effective Date

07/05/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006