MARTHA LORENA CRUZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

MARTHA

Middle

LORENA

Last Name

CRUZ

Business Name

MARTHA LORENA CRUZ DO

Original Issue Date

05/25/2017

Effective Date

05/25/2017

Expiration Date

09/30/2020

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021