BARNARD DELA CRUZ SAN GABRIEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051115

License Status

CANCELLED

Business

First Name

BARNARD

Middle

DELA CRUZ

Last Name

SAN GABRIEL

Suffix

Business Name

BARNARD DELA CRUZ SAN GABRIEL MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

MUNSTER

State

Zip

46321

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006