THOMAS ADAM CRISWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063448

License Status

EXPIRED

Business

First Name

THOMAS

Middle

ADAM

Last Name

CRISWELL

Suffix

Business Name

THOMAS ADAM CRISWELL MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/19/2017