KATYA YANIRA CRUZ MADRID MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050434

License Status

CANCELLED

Business

Title

First Name

KATYA

Middle

YANIRA

Last Name

CRUZ MADRID

Business Name

KATYA YANIRA CRUZ MADRID MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/09/2010