ENRIQUE CORNEJO CISNEROS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140701

License Status

INACTIVE

Business

Title

First Name

ENRIQUE

Last Name

CORNEJO CISNEROS

Business Name

ENRIQUE CORNEJO CISNEROS MD

Original Issue Date

05/17/2016

Effective Date

05/17/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017