JOHAN W SOSA DE LA CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082150

License Status

ACTIVE

Business

Title

First Name

JOHAN

Middle

Last Name

SOSA DE LA CRUZ

Business Name

JOHAN W SOSA DE LA CRUZ MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

06/20/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/17/2023