CONRAD CRUZ NIEVERA MD Medical Doctor License verification

Business Entity

Non Sufficient Fund Check

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028318

License Status

Non Sufficient Fund Check

Business

Title

First Name

CONRAD

Middle

CRUZ

Last Name

NIEVERA

Business Name

CONRAD CRUZ NIEVERA MD

Original Issue Date

05/26/1992

Effective Date

05/26/1992

Expiration Date

06/23/1995

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

02/11/2025