ENRIQUE A JIMENEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101312

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Middle

Last Name

JIMENEZ

Business Name

ENRIQUE A JIMENEZ

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006