CLINTON W STALLARD JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063400

License Status

NOT RENEWED

Business

First Name

CLINTON W

Last Name

STALLARD JR

Suffix

Business Name

CLINTON W STALLARD JR MD

Original Issue Date

10/19/1981

Effective Date

10/19/1981

Expiration Date

07/31/1987

City

CLEVELAND

State

Zip

44118

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006