MARTHA ELLEN CROTTS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

MARTHA ELLEN

Last Name

CROTTS

Suffix

Business Name

MARTHA ELLEN CROTTS MD

Original Issue Date

08/20/1997

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

THE VILLAGES

State

Zip

32163

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023