ENRIQUE G CIFUENTES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

ENRIQUE

Middle

Last Name

CIFUENTES

Suffix

Business Name

ENRIQUE G CIFUENTES MD

Original Issue Date

06/03/2004

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023