TAIS V CRAWFORD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099766

License Status

ACTIVE

Business

First Name

TAIS

Middle

Last Name

CRAWFORD

Business Name

TAIS V CRAWFORD

Original Issue Date

03/04/1999

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2023