MICHAEL PAUL DELACRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

PAUL

Last Name

DELACRUZ

Business Name

MICHAEL PAUL DELACRUZ MD

Original Issue Date

07/27/2016

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023