PAUL D CROSSAN 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

PAUL

Middle

Last Name

CROSSAN

Business Name

PAUL D CROSSAN

Original Issue Date

07/21/2005

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023