MICHAEL A CLEMENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

CLEMENS

Suffix

Business Name

MICHAEL A CLEMENS MD

Original Issue Date

08/25/1987

Effective Date

08/25/1987

Expiration Date

07/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006