ERNESTO LUIS ENRIQUE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

ERNESTO

Middle

LUIS

Last Name

ENRIQUE

Business Name

ERNESTO LUIS ENRIQUE DO

Original Issue Date

09/25/2025

Effective Date

09/25/2025

Expiration Date

07/31/2026

City

MIDVALE

State

Zip

84047

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2025