MATTHEW EDGAR ENRIQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142884

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

EDGAR

Last Name

ENRIQUEZ

Business Name

MATTHEW EDGAR ENRIQUEZ MD

Original Issue Date

04/05/2017

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

17320

Ever Disciplined

LastModifiedDate

07/27/2023