JENNIFER ANNE REGAN DE LA CRUZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056188

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

ANNE REGAN

Last Name

DE LA CRUZ

Business Name

JENNIFER ANNE REGAN DE LA CRUZ MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

04/30/2012