MARTHA ELLEN CROTTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

MARTHA ELLEN

Last Name

CROTTS

Suffix

Business Name

MARTHA ELLEN CROTTS MD

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020