ANTONIO CRUZZAVALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052597

License Status

INACTIVE

Business

First Name

ANTONIO

Last Name

CRUZZAVALA

Suffix

Business Name

ANTONIO CRUZZAVALA MD

Original Issue Date

03/26/1976

Effective Date

03/26/1976

Expiration Date

07/31/1993

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006