BARNARD DELA CRUZ SAN GABRIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

BARNARD

Middle

DELA CRUZ

Last Name

SAN GABRIEL

Suffix

Business Name

BARNARD DELA CRUZ SAN GABRIEL MD

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020