DAVID S CROW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

CROW

Suffix

Business Name

DAVID S CROW MD

Original Issue Date

04/06/1999

Effective Date

04/06/1999

Expiration Date

07/31/2008

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008