BENJAMIN PHILIP CRANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

PHILIP

Last Name

CRANE

Suffix

Business Name

BENJAMIN PHILIP CRANE MD

Original Issue Date

08/14/2008

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017