CLARENCE RAYMOND REILLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

CLARENCE

Middle

RAYMOND

Last Name

REILLY

Suffix

Business Name

CLARENCE RAYMOND REILLY MD

Original Issue Date

07/03/2013

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023