CLYDE W DAYHOFF JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

CLYDE W

Last Name

DAYHOFF JR

Business Name

CLYDE W DAYHOFF JR

Original Issue Date

09/09/1997

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023