JOSE L ENRIQUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

JOSE L

Last Name

ENRIQUEZ

Business Name

JOSE L ENRIQUEZ

Original Issue Date

04/14/1989

Effective Date

10/29/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025