MARCOS RAFAEL HENRIQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080112

License Status

CANCELLED

Business

Title

First Name

MARCOS

Middle

RAFAEL

Last Name

HENRIQUEZ

Business Name

MARCOS RAFAEL HENRIQUEZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

06/06/2025