CLETUS NICHOLAS PAULY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

CLETUS

Middle

NICHOLAS

Last Name

PAULY

Suffix

Business Name

CLETUS NICHOLAS PAULY MD

Original Issue Date

03/23/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CANTRALL

State

Zip

62625

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023