FRED CRAWFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077896

License Status

CANCELLED

Business

Title

First Name

FRED

Last Name

CRAWFORD

Business Name

FRED CRAWFORD MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

06/04/2025