ERNESTO I LARDIZABAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

ERNESTO

Middle

Last Name

LARDIZABAL

Suffix

Business Name

ERNESTO I LARDIZABAL MD

Original Issue Date

01/01/1997

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023