BRIAN LEE CRENSHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

LEE

Last Name

CRENSHAW

Business Name

BRIAN LEE CRENSHAW MD

Original Issue Date

10/08/2024

Effective Date

10/08/2024

Expiration Date

07/31/2026

City

WESTERN SPRGS

State

Zip

60558

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/04/2024