Claude Howard Crockett, Jr.

Limited Scope Medical Doctor

Indiana  99014405A   Expired

This Indiana license was held by Claude Howard Crockett, Jr.. The license is no longer active. It was granted on 10/29/2004 and expired on 11/01/2004

LICENSE DETAILS

  • License Number: 99014405A
  • Category: Limited Scope MD
  • Status: Expired
  • Date Granted: 10/29/2004 (over 20 years ago)
  • Expiry Date: 11/01/2004 (over 20 years ago)

LOCATIONS

A Address

Bristol TN 37620