CAMILLE ANGELO ENRIQUEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150100

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

ANGELO

Last Name

ENRIQUEZ

Business Name

CAMILLE ANGELO ENRIQUEZ

Original Issue Date

07/02/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023