DWAYNE KENT CRABTREE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150097

License Status

ACTIVE

Business

First Name

DWAYNE

Middle

KENT

Last Name

CRABTREE

Business Name

DWAYNE KENT CRABTREE

Original Issue Date

07/02/2019

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40245

Ever Disciplined

LastModifiedDate

06/01/2023