DONITA RUTH CROFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

DONITA

Middle

RUTH

Last Name

CROFT

Suffix

Business Name

DONITA RUTH CROFT MD

Original Issue Date

06/09/2010

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/10/2023