MICHAEL A CLEMENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068359

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

CLEMENS

Suffix

Business Name

MICHAEL A CLEMENS MD

Original Issue Date

03/12/1984

Effective Date

03/12/1984

Expiration Date

07/31/1990

City

FAIRFAX

State

Zip

22030

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1993006863

Action

Probation

Discipline Start Date

06/03/1994

Discipline End Date

03/13/1996

Discipline Reason

Disciplined in Virginia.