GERMAINE EARLE-CRUICKSHANKS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046636

License Status

EXPIRED

Business

First Name

GERMAINE

Last Name

EARLE-CRUICKSHANKS

Suffix

Business Name

GERMAINE EARLE-CRUICKSHANKS DO

Original Issue Date

06/05/2003

Effective Date

06/05/2003

Expiration Date

06/30/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006