RAYMOND CLAIR FELLOWS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

RAYMOND CLAIR

Last Name

FELLOWS

Suffix

Business Name

RAYMOND CLAIR FELLOWS MD

Original Issue Date

01/01/1997

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011