CRYSTAL L PERRY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

PERRY

Business Name

CRYSTAL L PERRY

Original Issue Date

11/23/1998

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023