FRED L CROCKETT MD S Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000762

License Status

NOT RENEWED

Business

Business Name

FRED L CROCKETT MD S

Original Issue Date

01/01/1998

Expiration Date

01/01/1989

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/26/2006