ANDREA R CRANE - Medical Doctor License in Illinois | # 125036182

ANDREA R CRANE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036182

License Status

EXPIRED

Business

N

First Name

ANDREA

Middle

R

Last Name

CRANE

Business Name

ANDREA R CRANE

Original Issue Date

05/20/1997

Effective Date

05/20/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006