JULIA DENNIS DE LA CRUZ PENA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061131

License Status

EXPIRED

Business

Title

First Name

JULIA

Middle

DENNIS

Last Name

DE LA CRUZ PENA

Business Name

JULIA DENNIS DE LA CRUZ PENA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

07/28/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015