CLAY R ANGEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

CLAY

Middle

Last Name

ANGEL

Business Name

CLAY R ANGEL

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/06/2008