CARLOS DE LA CRUZ CONCEPCION MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

DE LA CRUZ

Last Name

CONCEPCION

Business Name

CARLOS DE LA CRUZ CONCEPCION MD

Original Issue Date

05/11/2017

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023