ANDRES FIDEL HENRIQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068235

License Status

EXPIRED

Business

Title

First Name

ANDRES

Middle

FIDEL

Last Name

HENRIQUEZ

Business Name

ANDRES FIDEL HENRIQUEZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019