HOLLY RENEE CLEMONS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

HOLLY

Middle

RENEE

Last Name

CLEMONS

Business Name

HOLLY RENEE CLEMONS MD

Original Issue Date

05/31/2022

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023