BALBINO EDUARDO LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143692

License Status

NOT RENEWED

Business

Title

First Name

BALBINO

Middle

EDUARDO

Last Name

LOPEZ

Business Name

BALBINO EDUARDO LOPEZ MD

Original Issue Date

06/28/2017

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023