J QUENTIN CLEMENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029443

License Status

EXPIRED

Business

First Name

Middle

QUENTIN

Last Name

CLEMENS

Suffix

Business Name

J QUENTIN CLEMENS MD

Original Issue Date

05/06/1993

Effective Date

05/06/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2007