JAIRO B CRUZ JR DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

Title

DPM

First Name

JAIRO

Middle

Last Name

CRUZ

Suffix

Business Name

JAIRO B CRUZ JR DPM

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

01/31/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015