LARRY VAN-THOMAS CRISCO
License Number: ME115672
Data As Of 5/20/2024
| Profession | Medical Doctor |
|---|---|
| License | ME115672 |
| License Status | CLEAR/Active |
| License Expiration Date | 1/31/2025 |
| License Original Issue Date | 04/08/2013 |
| Address of Record | 100 Whetstone Place |
| Suite 310 | |
| ST AUGUSTINE, FL 32086 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
| Discipline on File | No |
| Public Complaint | No |
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