SUSAN ELLEN CRAWFORD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020241

License Status

EXPIRED

Business

First Name

SUSAN

Middle

ELLEN

Last Name

CRAWFORD

Suffix

Business Name

SUSAN ELLEN CRAWFORD DO

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006