KATYA YANIRA CRUZ MADRID 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

Title

First Name

KATYA

Middle

YANIRA

Last Name

CRUZ MADRID

Business Name

KATYA YANIRA CRUZ MADRID MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020