EILEEN CROWLEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035714

License Status

CANCELLED

Business

First Name

EILEEN

Last Name

CROWLEY

Business Name

EILEEN CROWLEY

Original Issue Date

04/29/1997

Effective Date

04/29/1997

Expiration Date

05/19/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006