SHANNA CLAIRE TEN CLAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163813

License Status

ACTIVE

Business

Title

First Name

SHANNA

Middle

CLAIRE

Last Name

TEN CLAY

Business Name

SHANNA CLAIRE TEN CLAY MD

Original Issue Date

02/28/2023

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/16/2023