JORGE A ENRIQUEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025395

License Status

EXPIRED

Business

First Name

JORGE

Middle

Last Name

ENRIQUEZ

Business Name

JORGE A ENRIQUEZ

Original Issue Date

06/11/1990

Effective Date

06/11/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006