MARIO E FAJARDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

MARIO E

Last Name

FAJARDO

Suffix

Business Name

MARIO E FAJARDO MD

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

07/31/1987

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006