CECILIA CRUZ - Medical Doctor License in Illinois | # 125036770

CECILIA CRUZ

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036770

License Status

CANCELLED

Business

N

First Name

CECILIA

Last Name

CRUZ

Business Name

CECILIA CRUZ

Original Issue Date

06/16/1997

Effective Date

06/16/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006