ANTONIO C DELA CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

ANTONIO C

Last Name

DELA CRUZ

Suffix

Business Name

ANTONIO C DELA CRUZ MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

SOMONAUK

State

Zip

60552

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006