DARYL T FUJIWARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

DARYL T

Last Name

FUJIWARA

Suffix

Business Name

DARYL T FUJIWARA MD

Original Issue Date

08/06/1987

Effective Date

08/06/1987

Expiration Date

07/31/1990

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006