ANTHONY AMBAL DE LA CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128064

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

AMBAL

Last Name

DE LA CRUZ

Suffix

Business Name

ANTHONY AMBAL DE LA CRUZ MD

Original Issue Date

06/07/2011

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/22/2023