ERNESTO I LARDIZABAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058421

License Status

ACTIVE

Business

First Name

ERNESTO

Middle

Last Name

LARDIZABAL

Suffix

Business Name

ERNESTO I LARDIZABAL MD

Original Issue Date

03/16/1979

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/29/2023