CHARI SAN GABRIEL CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127349

License Status

NOT RENEWED

Business

Title

First Name

CHARI

Middle

SAN GABRIEL

Last Name

CRUZ

Business Name

CHARI SAN GABRIEL CRUZ MD

Original Issue Date

03/16/2011

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014