ANA MELISSA LOPEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

ANA

Middle

MELISSA

Last Name

LOPEZ

Business Name

ANA MELISSA LOPEZ

Original Issue Date

06/06/2005

Effective Date

07/03/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016