SHALLON TORE CRADDOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172973

License Status

ACTIVE

Business

Title

First Name

SHALLON

Middle

TORE

Last Name

CRADDOCK

Business Name

SHALLON TORE CRADDOCK MD

Original Issue Date

12/06/2024

Effective Date

12/06/2024

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2024