CRYSTAL R SURPRENANT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038012253

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

SURPRENANT

Business Name

CRYSTAL R SURPRENANT

Original Issue Date

08/30/2012

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/17/2023