JEFFREY J CRUDO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

Last Name

CRUDO

Business Name

JEFFREY J CRUDO MD

Original Issue Date

11/16/1998

Effective Date

11/16/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006