MARCELO ROCHA DE SOUSA CRUZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069681

License Status

CANCELLED

Business

Title

First Name

MARCELO

Middle

ROCHA DE SOUSA

Last Name

CRUZ

Business Name

MARCELO ROCHA DE SOUSA CRUZ MD

Original Issue Date

10/10/2016

Effective Date

10/10/2016

Expiration Date

10/09/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Developmental Therapeutics

Ever Disciplined

LastModifiedDate

11/29/2016