WENDELL K CLARKSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

WENDELL K

Last Name

CLARKSTON

Suffix

Business Name

WENDELL K CLARKSTON MD

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

07/31/1996

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006