BARRY S CLEMSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

BARRY S

Last Name

CLEMSON

Suffix

Business Name

BARRY S CLEMSON MD

Original Issue Date

06/09/1993

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023