CARLOS JAMES CRUDUP - Medical Doctor License in Illinois | # 036112800

CARLOS JAMES CRUDUP

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112800

License Status

ACTIVE

Business

N

First Name

CARLOS JAMES

Last Name

CRUDUP

Business Name

CARLOS JAMES CRUDUP

Original Issue Date

12/22/2004

Effective Date

07/19/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

Y

LastModifiedDate

07/19/2023

Case Number

2011006021

Action

Probation

Discipline Start Date

03/26/2012

Discipline End Date

05/22/2020

Discipline Reason

due to issuance of prescriptions for non-controlled substances for patients over the internet.