CHRISTOPHER T CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER T

Last Name

CRUZ

Suffix

Business Name

CHRISTOPHER T CRUZ MD

Original Issue Date

12/01/2011

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

04/05/2020