MERLITA C CRUZAT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028006

License Status

EXPIRED

Business

First Name

MERLITA C

Last Name

CRUZAT

Business Name

MERLITA C CRUZAT

Original Issue Date

05/11/1992

Effective Date

05/11/1992

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006