DAVID LOPEZ ROQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094226

License Status

ACTIVE

Business

First Name

DAVID

Middle

LOPEZ

Last Name

ROQUE

Suffix

Business Name

DAVID LOPEZ ROQUE MD

Original Issue Date

09/17/1996

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023

Case Number

2008003409

Action

Fine

Discipline Start Date

03/26/2010

Discipline Reason

for failure to write proper medicating instructions on prescription and failure to timely respond to Department's 60 day Mandatory Report letter.