SUSAN E CRAWFORD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

CRAWFORD

Business Name

SUSAN E CRAWFORD

Original Issue Date

06/23/2003

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023