JAXEL LOPEZ SEPULVEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136616

License Status

NOT RENEWED

Business

Title

First Name

JAXEL

Last Name

LOPEZ SEPULVEDA

Business Name

JAXEL LOPEZ SEPULVEDA MD

Original Issue Date

10/07/2014

Effective Date

10/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017