CATHARINE J CROCKETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

CATHARINE J

Last Name

CROCKETT

Suffix

Business Name

CATHARINE J CROCKETT MD

Original Issue Date

05/07/1992

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023