PAIGE BREANNE CLAYTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072856

License Status

CANCELLED

Business

Title

First Name

PAIGE

Middle

BREANNE

Last Name

CLAYTON

Business Name

PAIGE BREANNE CLAYTON MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/05/2018