CONCEPCION ENRIQ BERNABE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057756

License Status

NOT RENEWED

Business

First Name

CONCEPCION ENRIQ

Last Name

BERNABE

Suffix

Business Name

CONCEPCION ENRIQ BERNABE MD

Original Issue Date

08/21/1978

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011