NATHANIEL LLOYD CRUMP JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059094

License Status

ACTIVE

Business

First Name

NATHANIEL

Middle

LLOYD

Last Name

CRUMP

Suffix

JR MD

Business Name

NATHANIEL LLOYD CRUMP JR MD

Original Issue Date

08/20/1979

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023