CLAY O DEMATTEI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

CLAY O

Last Name

DEMATTEI

Suffix

Business Name

CLAY O DEMATTEI MD

Original Issue Date

06/27/1986

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023