MARIO MATOS CRUZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019058

License Status

EXPIRED

Business

First Name

MARIO MATOS

Last Name

CRUZ

Business Name

MARIO MATOS CRUZ

Original Issue Date

10/28/1985

Effective Date

10/28/1985

Expiration Date

11/01/1988

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/14/2013