ALAN SLADE CRANDALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000460

License Status

EXPIRED

Business

Title

First Name

ALAN

Middle

SLADE

Last Name

CRANDALL

Business Name

ALAN SLADE CRANDALL MD

Original Issue Date

04/10/2012

Effective Date

04/10/2012

Expiration Date

10/09/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

01/11/2013