JOSE JAVIER DE LA CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

JOSE

Middle

JAVIER

Last Name

DE LA CRUZ

Suffix

Business Name

JOSE JAVIER DE LA CRUZ MD

Original Issue Date

09/01/2006

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023