GERALD W MCCLALLEN DO 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

GERALD W

Last Name

MCCLALLEN

Suffix

Business Name

GERALD W MCCLALLEN DO

Original Issue Date

06/04/1991

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

GOREVILLE

State

Zip

62939

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023