ELIE R CRYSTAL DO Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

INOPERATIVE

Business

Title

First Name

ELIE

Middle

Last Name

CRYSTAL

Business Name

ELIE R CRYSTAL DO

Original Issue Date

08/07/2019

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023