SHELBY DANIELLE CRAWFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074220

License Status

EXPIRED

Business

Title

First Name

SHELBY

Middle

DANIELLE

Last Name

CRAWFORD

Business Name

SHELBY DANIELLE CRAWFORD MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020