BERNARDITA R ENRIQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066809

License Status

NOT RENEWED

Business

First Name

BERNARDITA R

Last Name

ENRIQUEZ

Suffix

Business Name

BERNARDITA R ENRIQUEZ MD

Original Issue Date

06/29/1983

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017