PAPA WIN DE LA CRUZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

PAPA

Middle

WIN

Last Name

DE LA CRUZ

Business Name

PAPA WIN DE LA CRUZ

Original Issue Date

08/07/2003

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023