ROGER S MCCLINTOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

ROGER S

Last Name

MCCLINTOCK

Suffix

Business Name

ROGER S MCCLINTOCK MD

Original Issue Date

04/18/1994

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023