JENNIFER ANNE REGAN DE LA CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

ANNE REGAN

Last Name

DE LA CRUZ

Business Name

JENNIFER ANNE REGAN DE LA CRUZ MD

Original Issue Date

03/29/2013

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023