CARLOS JAMES CRUDUP Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

CARLOS JAMES

Last Name

CRUDUP

Business Name

CARLOS JAMES CRUDUP

Original Issue Date

12/22/2004

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

GLENWOOD

State

Zip

60425

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023