CARLA ROSE CLOOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

CARLA

Middle

ROSE

Last Name

CLOOS

Business Name

CARLA ROSE CLOOS MD

Original Issue Date

12/10/2014

Effective Date

12/10/2014

Expiration Date

07/31/2017

City

ALEDO

State

Zip

61231

County

MERCER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017