ELENA R LOPEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104170

License Status

ACTIVE

Business

First Name

ELENA

Middle

Last Name

LOPEZ

Business Name

ELENA R LOPEZ

Original Issue Date

02/09/2001

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/17/2023