GARRETT M CLANTON II Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

GARRETT M

Last Name

CLANTON II

Business Name

GARRETT M CLANTON II

Original Issue Date

07/24/1996

Effective Date

07/24/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006