ENRIQUE DAVID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043640

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Last Name

DAVID

Suffix

Business Name

ENRIQUE DAVID MD

Original Issue Date

08/10/1970

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008