EDUARDO ANDRES CRUZ DIAZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

Title

DMD

First Name

EDUARDO

Middle

ANDRES

Last Name

CRUZ DIAZ

Business Name

EDUARDO ANDRES CRUZ DIAZ DMD

Original Issue Date

02/25/2021

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60640

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025