CRYSTAL ANN MEDINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136386

License Status

NOT RENEWED

Business

Title

First Name

CRYSTAL

Middle

ANN

Last Name

MEDINA

Business Name

CRYSTAL ANN MEDINA MD

Original Issue Date

09/03/2014

Effective Date

09/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017