MARTA ANN CRISPENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097960

License Status

NOT RENEWED

Business

First Name

MARTA

Middle

ANN

Last Name

CRISPENS

Suffix

Business Name

MARTA ANN CRISPENS MD

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006