JAMES RUSSELL CREATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JAMES RUSSELL

Last Name

CREATH

Suffix

Business Name

JAMES RUSSELL CREATH MD

Original Issue Date

05/21/2002

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017