PAPA WIN DE LA CRUZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039711

License Status

EXPIRED

Business

First Name

PAPA

Middle

WIN

Last Name

DE LA CRUZ

Business Name

PAPA WIN DE LA CRUZ

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/20/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006