WILLIAM MICHAEL CRECELIUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

WILLIAM MICHAEL

Last Name

CRECELIUS

Suffix

Business Name

WILLIAM MICHAEL CRECELIUS MD

Original Issue Date

09/17/1996

Effective Date

09/17/1996

Expiration Date

07/31/2002

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006