FELIPE ENRIQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056321

License Status

NOT RENEWED

Business

First Name

FELIPE

Last Name

ENRIQUEZ

Suffix

Business Name

FELIPE ENRIQUEZ MD

Original Issue Date

01/19/1978

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

LAS VEGAS

State

Zip

89122

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021