JULIE C KLEMENS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

JULIE

Middle

Last Name

KLEMENS

Business Name

JULIE C KLEMENS

Original Issue Date

05/14/2003

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023