CRYSTAL R GARDNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033379

License Status

EXPIRED

Business

First Name

CRYSTAL R

Last Name

GARDNER

Business Name

CRYSTAL R GARDNER

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006