RAUL C VALDESCRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

RAUL C

Last Name

VALDESCRUZ

Suffix

Business Name

RAUL C VALDESCRUZ MD

Original Issue Date

05/20/1986

Effective Date

05/20/1986

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017