LISA RENEE CLAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124926

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

CLAY

Suffix

Business Name

LISA RENEE CLAY MD

Original Issue Date

02/03/2010

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017