ELIE R CRYSTAL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150254

License Status

INACTIVE

Business

Title

First Name

ELIE

Middle

Last Name

CRYSTAL

Business Name

ELIE R CRYSTAL DO

Original Issue Date

07/17/2019

Effective Date

06/25/2021

Expiration Date

07/31/2023

City

NORTHBROOK

State

Zip

60062

Ever Disciplined

LastModifiedDate

05/20/2023