DORIS P CRALLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

DORIS

Middle

Last Name

CRALLE

Suffix

Business Name

DORIS P CRALLE MD

Original Issue Date

12/15/1998

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023