CLAYTON THOMAS ROLAND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083003

License Status

ACTIVE

Business

Title

First Name

CLAYTON

Middle

THOMAS

Last Name

ROLAND

Business Name

CLAYTON THOMAS ROLAND DO

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/30/2023