TRAVES DEAN CRABTREE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112228

License Status

ACTIVE

Business

First Name

TRAVES

Middle

DEAN

Last Name

CRABTREE

Suffix

Business Name

TRAVES DEAN CRABTREE MD

Original Issue Date

08/27/2004

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2023