DARIO T LEBAJO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

DARIO T

Last Name

LEBAJO

Suffix

Business Name

DARIO T LEBAJO MD

Original Issue Date

10/24/1983

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017