COULTER PAYTON CRANSTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074259

License Status

EXPIRED

Business

Title

First Name

COULTER

Middle

PAYTON

Last Name

CRANSTON

Business Name

COULTER PAYTON CRANSTON MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

PHILADELPHIA

State

Zip

19104

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

11/19/2020