CLAY R ANGEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112454

License Status

NOT RENEWED

Business

First Name

CLAY

Middle

Last Name

ANGEL

Business Name

CLAY R ANGEL

Original Issue Date

09/29/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008