MARTHE K P DELA CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

MARTHE

Middle

K P

Last Name

DELA CRUZ

Suffix

Business Name

MARTHE K P DELA CRUZ MD

Original Issue Date

06/18/2009

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023