ERIC ARENDELA ENRIQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042082

License Status

EXPIRED

Business

First Name

ERIC

Middle

ARENDELA

Last Name

ENRIQUEZ

Suffix

Business Name

ERIC ARENDELA ENRIQUEZ MD

Original Issue Date

07/24/2000

Effective Date

07/24/2000

Expiration Date

07/23/2003

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006