JEFFREY J CRUDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

Last Name

CRUDO

Business Name

JEFFREY J CRUDO MD

Original Issue Date

08/10/2007

Effective Date

08/10/2007

Expiration Date

07/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008