CRANDALL FUERTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166408

License Status

ACTIVE

Business

Title

First Name

CRANDALL

Last Name

FUERTH

Business Name

CRANDALL FUERTH MD

Original Issue Date

08/09/2023

Effective Date

08/09/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

08/09/2023