CLAY F HALLBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020987

License Status

EXPIRED

Business

First Name

CLAY F

Last Name

HALLBERG

Business Name

CLAY F HALLBERG

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

07/01/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006