JACK DYER CROUCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084866

License Status

EXPIRED

Business

Title

First Name

JACK

Middle

DYER

Last Name

CROUCH

Business Name

JACK DYER CROUCH MD

Original Issue Date

06/27/2024

Effective Date

06/27/2024

Expiration Date

06/26/2025

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

11/03/2025