EILEEN DE LA CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

EILEEN

Last Name

DE LA CRUZ

Suffix

Business Name

EILEEN DE LA CRUZ MD

Original Issue Date

03/15/1995

Effective Date

03/15/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006