ANTHONY AMBAL DE LA CRUZ MD
Temporary Medical Permit
Illinois 125052942 Expired
This Illinois license was held by ANTHONY AMBAL DE LA CRUZ MD. The license is no longer active. It was granted on 05/21/2007 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 125052942
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 05/21/2007 (about 17 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
WEST CHICAGO, IL 60185