ENEDINA ENRIQUEZ ALCANTARA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036411

License Status

EXPIRED

Business

First Name

ENEDINA

Middle

ENRIQUEZ

Last Name

ALCANTARA

Suffix

Business Name

ENEDINA ENRIQUEZ ALCANTARA MD

Original Issue Date

06/03/1997

Effective Date

06/03/1997

Expiration Date

06/22/2000

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006