ELAINE B CRUZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057623

License Status

CANCELLED

Business

Title

First Name

ELAINE

Middle

Last Name

CRUZ

Business Name

ELAINE B CRUZ DO

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2010