COULTER PAYTON CRANSTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

COULTER

Middle

PAYTON

Last Name

CRANSTON

Business Name

COULTER PAYTON CRANSTON MD

Original Issue Date

02/20/2024

Effective Date

02/20/2024

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2024