MA CARINA LOMOTAN CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046855

License Status

NOT RENEWED

Business

First Name

MA CARINA

Middle

LOMOTAN

Last Name

CRUZ

Suffix

Business Name

MA CARINA LOMOTAN CRUZ MD

Original Issue Date

09/01/2003

Effective Date

09/01/2003

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatric Rheumatology

Ever Disciplined

LastModifiedDate

11/03/2006