EARL RUSSELL CROUCH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047556

License Status

NOT RENEWED

Business

First Name

EARL RUSSELL

Last Name

CROUCH JR

Suffix

Business Name

EARL RUSSELL CROUCH JR MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006