ADOLFO CARVAJAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

ADOLFO

Last Name

CARVAJAL

Suffix

Business Name

ADOLFO CARVAJAL MD

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

07/31/2008

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008