BARNARD DELA CRUZ SAN GABRIEL MD - Medical Doctor License in Indiana | # 125051115

BARNARD DELA CRUZ SAN GABRIEL MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051115

License Status

CANCELLED

Business

N

First Name

BARNARD

Middle

DELA CRUZ

Last Name

SAN GABRIEL

Suffix

MD

Business Name

BARNARD DELA CRUZ SAN GABRIEL MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

State

IN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006