MARTHA LORENA CRUZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063491

License Status

CANCELLED

Business

Title

First Name

MARTHA

Middle

LORENA

Last Name

CRUZ

Business Name

MARTHA LORENA CRUZ DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/22/2016