CLAY F HALLBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

CLAY F

Last Name

HALLBERG

Business Name

CLAY F HALLBERG

Original Issue Date

03/09/1989

Effective Date

03/09/1989

Expiration Date

07/31/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006