ALICIA P CRAWFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

CRAWFORD

Suffix

Business Name

ALICIA P CRAWFORD MD

Original Issue Date

12/17/1985

Effective Date

12/17/1985

Expiration Date

07/31/2005

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006