MONTY PHILLIP MCCLELLAN 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

MONTY

Middle

PHILLIP

Last Name

MCCLELLAN

Suffix

Business Name

MONTY PHILLIP MCCLELLAN MD

Original Issue Date

01/01/1997

Effective Date

05/12/2011

Expiration Date

07/31/2014

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014