JONATHAN EDWARD DELA CRUZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051563

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

EDWARD

Last Name

DELA CRUZ

Suffix

Business Name

JONATHAN EDWARD DELA CRUZ MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009