COLTON ANDREW CLAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065449

License Status

CANCELLED

Business

Title

First Name

COLTON

Middle

ANDREW

Last Name

CLAY

Business Name

COLTON ANDREW CLAY MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/20/2014