KATHLEEN ANN C ENRIQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069692

License Status

EXPIRED

Business

Title

First Name

KATHLEEN ANN

Middle

Last Name

ENRIQUEZ

Business Name

KATHLEEN ANN C ENRIQUEZ MD

Original Issue Date

07/25/2017

Effective Date

07/25/2017

Expiration Date

07/24/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Rheumatology

Ever Disciplined

LastModifiedDate

10/02/2019