CLAYTON GERALD PARKS MD Medical Doctor License verification

CLAYTON GERALD PARKS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069730

License Status

CANCELLED

Business

Title

First Name

CLAYTON

Middle

GERALD

Last Name

PARKS

Business Name

CLAYTON GERALD PARKS MD

Original Issue Date

12/20/2016

Effective Date

12/20/2016

Expiration Date

12/19/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

12/21/2016

Case Number

2016003483

Action

Reprimand

Discipline Start Date

12/17/2016

Discipline Reason

due to his pharmacy technician license being suspended in March 2011 for diversion of controlled substances for personal use and sister-state discipline in Iowa.