LUIS E CRUZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

ACTIVE

Business

First Name

LUIS

Middle

Last Name

CRUZ

Prefix

Business Name

LUIS E CRUZ

Original Issue Date

10/18/2024

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

HANOVER PARK

State

Zip

60133

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026