KENNETH QUITEVIS CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

QUITEVIS

Last Name

CRUZ

Business Name

KENNETH QUITEVIS CRUZ MD

Original Issue Date

10/14/1999

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023