MARIE L CRANDALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099830

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

CRANDALL

Business Name

MARIE L CRANDALL

Original Issue Date

03/11/1999

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017