CLARENCE VINCENT WARD JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CLARENCE VINCENT

Last Name

WARD JR

Suffix

Business Name

CLARENCE VINCENT WARD JR MD

Original Issue Date

01/01/1997

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011