TRAVES DEAN CRABTREE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

TRAVES

Middle

DEAN

Last Name

CRABTREE

Suffix

Business Name

TRAVES DEAN CRABTREE MD

Original Issue Date

09/16/2004

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023