KEVIN MICHAEL CRAWFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

MICHAEL

Last Name

CRAWFORD

Business Name

KEVIN MICHAEL CRAWFORD MD

Original Issue Date

07/10/2017

Effective Date

07/10/2017

Expiration Date

09/30/2020

City

MANITOWOC

State

Zip

54220

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021