MEREDITH IVA CLAYTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

MEREDITH

Middle

IVA

Last Name

CLAYTON

Business Name

MEREDITH IVA CLAYTON DO

Original Issue Date

12/20/2016

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023