GLENN A LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069043

License Status

NOT RENEWED

Business

First Name

GLENN A

Last Name

LOPEZ

Suffix

Business Name

GLENN A LOPEZ MD

Original Issue Date

07/20/1984

Effective Date

07/20/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006