MICHAEL THEODORE CROWLEY MD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006466

License Status

INACTIVE

Business

Title

First Name

MICHAEL

Middle

THEODORE

Last Name

CROWLEY

Business Name

MICHAEL THEODORE CROWLEY MD

Original Issue Date

12/13/2017

Effective Date

12/13/2017

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019