CRYSTAL L PERRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034064

License Status

EXPIRED

Business

First Name

CRYSTAL

Middle

Last Name

PERRY

Business Name

CRYSTAL L PERRY

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

06/30/1999

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006