EDWIN AMBROSE CROWELL JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027265

License Status

INACTIVE

Business

First Name

EDWIN AMBROSE

Last Name

CROWELL JR

Suffix

Business Name

EDWIN AMBROSE CROWELL JR MD

Original Issue Date

11/25/1946

Effective Date

11/25/1946

Expiration Date

07/31/1987

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/20/2006