CRYSTALE JANELLE CRUZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

CRYSTALE

Middle

JANELLE

Last Name

CRUZ

Business Name

CRYSTALE JANELLE CRUZ DO

Original Issue Date

10/09/2024

Effective Date

10/09/2024

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2024