ENRIQUE ELLENBOGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Last Name

ELLENBOGEN

Suffix

Business Name

ENRIQUE ELLENBOGEN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006