MARY PATRICE CROWE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

MARY

Middle

PATRICE

Last Name

CROWE

Business Name

MARY PATRICE CROWE

Original Issue Date

09/12/2019

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024