ALLAN E CRANDELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

ALLAN E

Last Name

CRANDELL

Suffix

Business Name

ALLAN E CRANDELL MD

Original Issue Date

07/25/1988

Effective Date

07/25/1988

Expiration Date

07/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006