DAVID K CRISWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036813

License Status

NOT RENEWED

Business

First Name

DAVID K

Last Name

CRISWELL

Suffix

Business Name

DAVID K CRISWELL MD

Original Issue Date

09/08/1960

Effective Date

09/08/1960

Expiration Date

07/31/1990

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006