ANTONIO BARAJAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

BARAJAS

Business Name

ANTONIO BARAJAS

Original Issue Date

08/12/1991

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021