License holder summary

Lito Bautista Fajardo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lito Bautista Fajardo is South Bend Specialty Surgery Center, 335 Florence Ave, suite 1-B, Granger IN 46530. This licensed professional license is current. The license was granted 06/05/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lito Bautista Fajardo
Controlled Substance Registration - Physician
License number
01027493B
Date granted
06/05/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Specialty Surgery Center, 335 Florence Ave, suite 1-B, Granger IN 46530
indianalicensing.org
ID 27707317
LAST UPDATED 2024-02-21 07:37:27 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Lito Bautista Fajardo's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending