SHALLON TORE CRADDOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

SHALLON

Middle

TORE

Last Name

CRADDOCK

Business Name

SHALLON TORE CRADDOCK MD

Original Issue Date

04/04/2025

Effective Date

04/04/2025

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2025