ENEDINA ENRIQUEZ ALCANTARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101575

License Status

NOT RENEWED

Business

First Name

ENEDINA

Middle

ENRIQUEZ

Last Name

ALCANTARA

Suffix

Business Name

ENEDINA ENRIQUEZ ALCANTARA MD

Original Issue Date

11/04/1999

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

COLLEYVILLE

State

Zip

76034

County

TEXAS

Ever Disciplined

LastModifiedDate

11/14/2011