LOURDES MILLARE CRUZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030741

License Status

EXPIRED

Business

First Name

LOURDES MILLARE

Last Name

CRUZ

Suffix

Business Name

LOURDES MILLARE CRUZ MD

Original Issue Date

08/27/1993

Effective Date

08/27/1993

Expiration Date

07/31/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006