CLINT WAYNE ANTHONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151063

License Status

NOT RENEWED

Business

Title

First Name

CLINT

Middle

WAYNE

Last Name

ANTHONY

Business Name

CLINT WAYNE ANTHONY MD

Original Issue Date

10/23/2019

Effective Date

10/23/2019

Expiration Date

09/30/2020

City

AUSTIN

State

Zip

78701

Ever Disciplined

LastModifiedDate

01/14/2021