AMAYA LOPEZ BUSTINDUY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115192

License Status

NOT RENEWED

Business

First Name

AMAYA

Last Name

LOPEZ BUSTINDUY

Suffix

Business Name

AMAYA LOPEZ BUSTINDUY MD

Original Issue Date

02/03/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008