MICHAEL THEODORE CROWLEY MD - Physician Assistant License in Illinois | # 085006466

MICHAEL THEODORE CROWLEY MD

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006466

License Status

INACTIVE

Business

N

Title

MD

First Name

MICHAEL

Middle

THEODORE

Last Name

CROWLEY

Business Name

MICHAEL THEODORE CROWLEY MD

Original Issue Date

12/13/2017

Effective Date

12/13/2017

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

12/18/2019