FRED L CROCKETT MD S - Medical Corporation License in Illinois | # 042000762

FRED L CROCKETT MD S

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000762

License Status

NOT RENEWED

Business

Y

Business Name

FRED L CROCKETT MD S

Original Issue Date

01/01/1998

Expiration Date

01/01/1989

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006