DAVID T CROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

CROSS

Suffix

Business Name

DAVID T CROSS MD

Original Issue Date

07/30/2007

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023