ROBERT JOHN CRUZ VERGARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JOHN CRUZ

Last Name

VERGARA

Suffix

Business Name

ROBERT JOHN CRUZ VERGARA MD

Original Issue Date

10/09/2007

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020