CHRISTINA MARIE CRUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

CRUM

Business Name

CHRISTINA MARIE CRUM

Original Issue Date

10/10/2007

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/28/2026