ENRIQUE OCTAVIO BUJANDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062377

License Status

EXPIRED

Business

First Name

ENRIQUE

Middle

OCTAVIO

Last Name

BUJANDA

Suffix

Business Name

ENRIQUE OCTAVIO BUJANDA MD

Original Issue Date

07/31/2013

Effective Date

07/31/2013

Expiration Date

07/30/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015