CRANDALL FUERTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

CRANDALL

Last Name

FUERTH

Business Name

CRANDALL FUERTH MD

Original Issue Date

11/01/2023

Effective Date

11/01/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2023