MYRLA LAMBOLOTO SAJO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

MYRLA

Middle

LAMBOLOTO

Last Name

SAJO

Business Name

MYRLA LAMBOLOTO SAJO MD

Original Issue Date

10/15/2012

Effective Date

10/15/2012

Expiration Date

07/31/2014

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014