AMANDA C CROSS MD - Medical Doctor License in Illinois | # 125048285

AMANDA C CROSS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048285

License Status

EXPIRED

Business

N

First Name

AMANDA

Middle

C

Last Name

CROSS

Suffix

MD

Business Name

AMANDA C CROSS MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

07/15/2009