MATILDE MENDOZA CRAWFORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060070

License Status

INACTIVE

Business

First Name

MATILDE

Last Name

MENDOZA CRAWFORD

Suffix

Business Name

MATILDE MENDOZA CRAWFORD MD

Original Issue Date

02/29/1980

Effective Date

02/29/1980

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006