ENRIQUE SANCHEZ MENDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053191

License Status

CANCELLED

Business

First Name

ENRIQUE

Last Name

SANCHEZ MENDEZ

Suffix

Business Name

ENRIQUE SANCHEZ MENDEZ MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/23/2009