IVAN HENRY CRUZ
License Number: PO4548
Data As Of 6/23/2024
| Profession | Podiatric Physician |
|---|---|
| License | PO4548 |
| License Status | CLEAR/Active |
| Qualifications | Dispensing |
| License Expiration Date | 3/31/2026 |
| License Original Issue Date | 02/12/2024 |
| Address of Record | 526 Oak Branch Circle |
| KISSIMMEE, FL 34758 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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