JAIME IGNACIO NAVARRETE FAUBLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

JAIME

Middle

IGNACIO

Last Name

NAVARRETE FAUBLA

Business Name

JAIME IGNACIO NAVARRETE FAUBLA MD

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

09/30/2020

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021