CHRISTIAN SULLANO LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123832

License Status

NOT RENEWED

Business

Title

First Name

CHRISTIAN

Middle

SULLANO

Last Name

LOPEZ

Business Name

CHRISTIAN SULLANO LOPEZ MD

Original Issue Date

06/24/2009

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017