BENJAMIN PHILIP CRANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121325

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

PHILIP

Last Name

CRANE

Suffix

Business Name

BENJAMIN PHILIP CRANE MD

Original Issue Date

06/30/2008

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017