ENRIQUE PADILLA CAMPOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063593

License Status

CANCELLED

Business

First Name

ENRIQUE

Middle

PADILLA

Last Name

CAMPOS

Suffix

Business Name

ENRIQUE PADILLA CAMPOS MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014