IVAN R LOPEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109448

License Status

ACTIVE

Business

First Name

IVAN

Middle

Last Name

LOPEZ

Business Name

IVAN R LOPEZ

Original Issue Date

06/17/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2023