MICHAEL R MCCLINTOCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

MCCLINTOCK

Business Name

MICHAEL R MCCLINTOCK

Original Issue Date

08/07/1995

Effective Date

08/07/1995

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011