NATHANIEL LLOYD CRUMP JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

LLOYD

Last Name

CRUMP

Suffix

JR MD

Business Name

NATHANIEL LLOYD CRUMP JR MD

Original Issue Date

09/27/1989

Effective Date

09/27/1989

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020