CONSTANCE O CLEAVES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117661

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

CLEAVES

Business Name

CONSTANCE O CLEAVES

Original Issue Date

02/21/2007

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

TEMPLE

State

Zip

76504

County

TEXAS

Ever Disciplined

LastModifiedDate

11/14/2011