FE LILLIAN DE LA CRUZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

FE LILLIAN

Last Name

DE LA CRUZ

Business Name

FE LILLIAN DE LA CRUZ

Original Issue Date

11/15/1991

Effective Date

11/15/1991

Expiration Date

07/31/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006