JIMMY LYLE CROUSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036157

License Status

INACTIVE

Business

First Name

JIMMY LYLE

Last Name

CROUSE

Suffix

Business Name

JIMMY LYLE CROUSE MD

Original Issue Date

10/13/1959

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/07/2011