MARTIN J CLEARY MD 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

MARTIN J

Last Name

CLEARY

Suffix

Business Name

MARTIN J CLEARY MD

Original Issue Date

08/02/1983

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

WARREN

State

Zip

61087

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017