SUSAN LOPEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149030

License Status

ACTIVE

Business

Title

First Name

SUSAN

Last Name

LOPEZ

Business Name

SUSAN LOPEZ MD

Original Issue Date

04/13/2019

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023