MICHAEL THEODORE CROWLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

THEODORE

Last Name

CROWLEY

Business Name

MICHAEL THEODORE CROWLEY MD

Original Issue Date

03/15/2023

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023