CRYSTAL R GARDNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096616

License Status

NOT RENEWED

Business

First Name

CRYSTAL R

Last Name

GARDNER

Business Name

CRYSTAL R GARDNER

Original Issue Date

08/30/1997

Effective Date

08/30/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006