CLEVIS TYRONE PARKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

CLEVIS

Middle

TYRONE

Last Name

PARKER

Suffix

Business Name

CLEVIS TYRONE PARKER MD

Original Issue Date

02/06/2008

Effective Date

02/06/2008

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2011