EDITO CRUZ CABAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

CANCELLED

Business

First Name

EDITO CRUZ

Last Name

CABAL

Suffix

Business Name

EDITO CRUZ CABAL MD

Original Issue Date

06/09/1993

Effective Date

06/09/1993

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006