MICHAEL ALAN CRIM DO - Medical Doctor License in Illinois | # 125044353

MICHAEL ALAN CRIM DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044353

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

ALAN

Last Name

CRIM

Suffix

DO

Business Name

MICHAEL ALAN CRIM DO

Original Issue Date

05/06/2002

Effective Date

05/06/2002

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006