PAUL D CROSSAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

CROSSAN

Business Name

PAUL D CROSSAN

Original Issue Date

07/21/2005

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020