ENRIQUE DAVID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Last Name

DAVID

Suffix

Business Name

ENRIQUE DAVID MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008