GREGORY E CLEM 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

GREGORY

Middle

Last Name

CLEM

Suffix

Business Name

GREGORY E CLEM MD

Original Issue Date

10/24/1991

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023