PATRICK KEVIN ENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

KEVIN

Last Name

ENNIS

Business Name

PATRICK KEVIN ENNIS MD

Original Issue Date

08/11/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023