MICHAEL DAVID CRADDICK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064809

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

CRADDICK

Business Name

MICHAEL DAVID CRADDICK DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

DAVENPORT

State

Zip

52803

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/29/2014