ENRIQUE M BRINGAS - Medical Doctor License in Illinois | # 125035258

ENRIQUE M BRINGAS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035258

License Status

EXPIRED

Business

N

First Name

ENRIQUE

Middle

M

Last Name

BRINGAS

Business Name

ENRIQUE M BRINGAS

Original Issue Date

06/26/1996

Effective Date

06/26/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006