MARY V CLEMENCY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

MARY V

Last Name

CLEMENCY

Suffix

Business Name

MARY V CLEMENCY MD

Original Issue Date

08/29/1983

Effective Date

08/29/1983

Expiration Date

07/31/1987

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006