DAVID OMAR HENRIQUEZ TICAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164840

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

OMAR

Last Name

HENRIQUEZ TICAS

Business Name

DAVID OMAR HENRIQUEZ TICAS MD

Original Issue Date

05/27/2023

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2026