ELIZABETH A FAJARDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

FAJARDO

Suffix

Business Name

ELIZABETH A FAJARDO MD

Original Issue Date

03/22/2004

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020