ANTHONY R MCCLOUD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

ANTHONY R

Last Name

MCCLOUD

Business Name

ANTHONY R MCCLOUD

Original Issue Date

08/09/1993

Effective Date

08/09/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006