PERRY WILLIAM CRAWFORD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

INOPERATIVE

Business

First Name

PERRY

Middle

WILLIAM

Last Name

CRAWFORD

Business Name

PERRY WILLIAM CRAWFORD

Original Issue Date

05/17/2021

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023