KATIE THERESE CRAWLEY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055963

License Status

CANCELLED

Business

Title

First Name

KATIE

Middle

THERESE

Last Name

CRAWLEY

Business Name

KATIE THERESE CRAWLEY DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/29/2012