ALLAN E CRANDELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077076

License Status

INACTIVE

Business

First Name

ALLAN E

Last Name

CRANDELL

Suffix

Business Name

ALLAN E CRANDELL MD

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

07/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/24/2011