JAMES J CLANAHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

JAMES J

Last Name

CLANAHAN

Suffix

Business Name

JAMES J CLANAHAN MD

Original Issue Date

06/01/1988

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023