LISA D CRUTCHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104449

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

CRUTCHER

Suffix

Business Name

LISA D CRUTCHER MD

Original Issue Date

04/04/2001

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/08/2023