CHRISTOPHER T CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER T

Last Name

CRUZ

Suffix

Business Name

CHRISTOPHER T CRUZ MD

Original Issue Date

07/11/2011

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020