ENRICO FORLENZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077617

License Status

ACTIVE

Business

Title

First Name

ENRICO

Last Name

FORLENZA

Business Name

ENRICO FORLENZA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/14/2024