CRYSTAL MARIE CARMICHEAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054541

License Status

CANCELLED

Business

Title

First Name

CRYSTAL

Middle

MARIE

Last Name

CARMICHEAL

Business Name

CRYSTAL MARIE CARMICHEAL MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/27/2008