LYDIA DIZON JAZMINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

LYDIA DIZON

Last Name

JAZMINES

Suffix

Business Name

LYDIA DIZON JAZMINES MD

Original Issue Date

01/01/1997

Effective Date

08/07/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017