TRAVIS ALLEN CRAWFORD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104850

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

ALLEN

Last Name

CRAWFORD

Business Name

TRAVIS ALLEN CRAWFORD

Original Issue Date

05/30/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HOOPESTON

State

Zip

60942

County

IROQUOIS

Ever Disciplined

LastModifiedDate

11/06/2008