EVANGELINA MENDO BELIZARIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

EVANGELINA MENDO

Last Name

BELIZARIO

Suffix

Business Name

EVANGELINA MENDO BELIZARIO MD

Original Issue Date

01/04/2005

Effective Date

01/04/2005

Expiration Date

07/31/2008

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020