ANTHONY AMBAL DE LA CRUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

AMBAL

Last Name

DE LA CRUZ

Suffix

Business Name

ANTHONY AMBAL DE LA CRUZ MD

Original Issue Date

07/28/2011

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023