RANDY WAYNE CRENSHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052177

License Status

NOT RENEWED

Business

First Name

RANDY WAYNE

Last Name

CRENSHAW

Suffix

Business Name

RANDY WAYNE CRENSHAW MD

Original Issue Date

11/21/1975

Effective Date

11/21/1975

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006