LISA RENEE CLAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

CLAY

Suffix

Business Name

LISA RENEE CLAY MD

Original Issue Date

02/04/2010

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

MAPLETON

State

Zip

61547

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017