JAVIER E FAJARDO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044959

License Status

EXPIRED

Business

First Name

JAVIER

Middle

Last Name

FAJARDO

Suffix

Business Name

JAVIER E FAJARDO MD

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/16/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006