ENEDINA ENRIQUEZ ALCANTARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ENEDINA

Middle

ENRIQUEZ

Last Name

ALCANTARA

Suffix

Business Name

ENEDINA ENRIQUEZ ALCANTARA MD

Original Issue Date

06/04/2001

Effective Date

06/04/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011