ALYSSA F CRAWFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069321

License Status

CANCELLED

Business

Title

First Name

ALYSSA

Middle

Last Name

CRAWFORD

Business Name

ALYSSA F CRAWFORD MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/05/2019