ROBERT QUENTON CRADDOCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ROBERT QUENTON

Last Name

CRADDOCK

Business Name

ROBERT QUENTON CRADDOCK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006