WAVERLY B CLANTON 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

WAVERLY B

Last Name

CLANTON

Suffix

Business Name

WAVERLY B CLANTON MD

Original Issue Date

04/19/1985

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023