MARTHA LORENA CRUZ DO - Medical Doctor License in Illinois | # 125063491

MARTHA LORENA CRUZ DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063491

License Status

CANCELLED

Business

N

Title

DO

First Name

MARTHA

Middle

LORENA

Last Name

CRUZ

Business Name

MARTHA LORENA CRUZ DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

04/22/2016