ENRIQUE OCTAVIO BUJANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

ENRIQUE

Middle

OCTAVIO

Last Name

BUJANDA

Suffix

Business Name

ENRIQUE OCTAVIO BUJANDA MD

Original Issue Date

08/11/2023

Effective Date

08/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2023