CLINT WAYNE ANTHONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

CLINT

Middle

WAYNE

Last Name

ANTHONY

Business Name

CLINT WAYNE ANTHONY MD

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

09/30/2020

City

AUSTIN

State

Zip

78701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021