CARLOS DE LA CRUZ CONCEPCION MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064807

License Status

CANCELLED

Business

Title

First Name

CARLOS

Middle

DE LA CRUZ

Last Name

CONCEPCION

Business Name

CARLOS DE LA CRUZ CONCEPCION MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/29/2014