MARK ANTHONY DELA CRUZ SY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073204

License Status

EXPIRED

Business

Title

First Name

MARK ANTHONY

Middle

DELA CRUZ

Last Name

Business Name

MARK ANTHONY DELA CRUZ SY MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022