KEILA N LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115224

License Status

NOT RENEWED

Business

First Name

KEILA

Middle

Last Name

LOPEZ

Business Name

KEILA N LOPEZ

Original Issue Date

02/09/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008