ENRIQUE GARCIA-VALENZUELA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035403

License Status

EXPIRED

Business

First Name

ENRIQUE

Last Name

GARCIA-VALENZUELA

Suffix

Business Name

ENRIQUE GARCIA-VALENZUELA MD

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/15/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006