ENRIQUE CORNEJO CISNEROS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064371

License Status

CANCELLED

Business

Title

First Name

ENRIQUE

Last Name

CORNEJO CISNEROS

Business Name

ENRIQUE CORNEJO CISNEROS MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

04/22/2014