SHANNON DAVID CRAWFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115218

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

DAVID

Last Name

CRAWFORD

Suffix

Business Name

SHANNON DAVID CRAWFORD MD

Original Issue Date

02/08/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SANTA MONICA

State

Zip

90404

Ever Disciplined

LastModifiedDate

11/06/2008