TRAVIS ALLEN CRAWFORD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

ALLEN

Last Name

CRAWFORD

Business Name

TRAVIS ALLEN CRAWFORD

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

07/31/2008

City

HOOPESTON

State

Zip

60942

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008