DAVID T CROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048325

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

CROSS

Suffix

Business Name

DAVID T CROSS MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007