JACK DAVID CLEMIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

DAVID

Last Name

CLEMIS

Business Name

JACK DAVID CLEMIS MD

Original Issue Date

01/01/1997

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021