EBENEZER EDGAR ENCHIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151048

License Status

NOT RENEWED

Business

Title

First Name

EBENEZER

Middle

EDGAR

Last Name

ENCHIA

Business Name

EBENEZER EDGAR ENCHIA MD

Original Issue Date

10/22/2019

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023