TARIQ ENEZATE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157953

License Status

ACTIVE

Business

Title

First Name

TARIQ

Last Name

ENEZATE

Business Name

TARIQ ENEZATE MD

Original Issue Date

08/06/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/24/2025