MICHAEL THEODORE CROWLEY MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

THEODORE

Last Name

CROWLEY

Business Name

MICHAEL THEODORE CROWLEY MD

Original Issue Date

07/17/2018

Effective Date

07/17/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020