LUIS ANTONIO BARAJAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

ANTONIO

Last Name

BARAJAS

Business Name

LUIS ANTONIO BARAJAS MD

Original Issue Date

03/04/2002

Effective Date

03/04/2002

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017