NICHOLAS ANTHONY CRAWFORD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154548

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

ANTHONY

Last Name

CRAWFORD

Business Name

NICHOLAS ANTHONY CRAWFORD DO

Original Issue Date

10/19/2020

Effective Date

10/19/2020

Expiration Date

07/31/2023

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/30/2023