EDWIN AMBROSE CROWELL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

EDWIN AMBROSE

Last Name

CROWELL JR

Suffix

Business Name

EDWIN AMBROSE CROWELL JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006