CLETUS NICHOLAS PAULY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125255

License Status

ACTIVE

Business

First Name

CLETUS

Middle

NICHOLAS

Last Name

PAULY

Suffix

Business Name

CLETUS NICHOLAS PAULY MD

Original Issue Date

03/19/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CANTRALL

State

Zip

62625

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/13/2023