TENNILLE CLOWARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048721

License Status

EXPIRED

Business

First Name

TENNILLE

Last Name

CLOWARD

Suffix

Business Name

TENNILLE CLOWARD MD

Original Issue Date

07/12/2007

Effective Date

07/12/2007

Expiration Date

07/11/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/31/2008