MARIO E FAJARDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066786

License Status

NOT RENEWED

Business

First Name

MARIO E

Last Name

FAJARDO

Suffix

Business Name

MARIO E FAJARDO MD

Original Issue Date

06/29/1983

Effective Date

06/29/1983

Expiration Date

07/31/1987

City

GLENDALE

State

Zip

85302

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006