BRUCE S CRAWFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

BRUCE S

Last Name

CRAWFORD

Suffix

Business Name

BRUCE S CRAWFORD MD

Original Issue Date

06/29/1997

Effective Date

06/29/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006