GREGORY J LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120993

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

LOPEZ

Business Name

GREGORY J LOPEZ

Original Issue Date

05/23/2008

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014