MERLITA C CRUZAT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088870

License Status

NOT RENEWED

Business

First Name

MERLITA C

Last Name

CRUZAT

Business Name

MERLITA C CRUZAT

Original Issue Date

07/05/1994

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017