ALYSSA F CRAWFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

ALYSSA

Middle

Last Name

CRAWFORD

Business Name

ALYSSA F CRAWFORD MD

Original Issue Date

06/19/2020

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023