ENRIQUE SANCHEZ MENDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Last Name

SANCHEZ MENDEZ

Suffix

Business Name

ENRIQUE SANCHEZ MENDEZ MD

Original Issue Date

12/01/2009

Effective Date

12/01/2009

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011