JUAN C LOPEZ DE VICTORIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113950

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

LOPEZ DE VICTORIA

Business Name

JUAN C LOPEZ DE VICTORIA

Original Issue Date

06/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008