KARA K CRISWELL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

KARA

Middle

Last Name

CRISWELL

Business Name

KARA K CRISWELL

Original Issue Date

03/29/2006

Effective Date

03/29/2006

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008