ENRIQUE OCTAVIO BUJANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165495

License Status

ACTIVE

Business

First Name

ENRIQUE

Middle

OCTAVIO

Last Name

BUJANDA

Suffix

Business Name

ENRIQUE OCTAVIO BUJANDA MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2023