CLAYTON LEWIS THELEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064876

License Status

EXPIRED

Business

Title

First Name

CLAYTON

Middle

LEWIS

Last Name

THELEMAN

Business Name

CLAYTON LEWIS THELEMAN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019