PATRICK KEVIN ENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141466

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

KEVIN

Last Name

ENNIS

Business Name

PATRICK KEVIN ENNIS MD

Original Issue Date

08/11/2016

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2023