LAMONT GERALD CLAY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111737

License Status

NOT RENEWED

Business

First Name

LAMONT

Middle

GERALD

Last Name

CLAY

Business Name

LAMONT GERALD CLAY

Original Issue Date

06/30/2004

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014