JILL DIANE CLAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112485

License Status

NOT RENEWED

Business

First Name

JILL

Middle

DIANE

Last Name

CLAY

Suffix

Business Name

JILL DIANE CLAY MD

Original Issue Date

10/06/2004

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

NEW ALBANY

State

Zip

43054

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021