LOURDES MILLARE CRUZ MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

INOPERATIVE

Business

First Name

LOURDES MILLARE

Last Name

CRUZ

Suffix

Business Name

LOURDES MILLARE CRUZ MD

Original Issue Date

08/25/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023