ENRIQUE PADILLA CAMPOS 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

Middle

PADILLA

Last Name

CAMPOS

Suffix

Business Name

ENRIQUE PADILLA CAMPOS MD

Original Issue Date

03/08/2016

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021