MARCO ANTONIO LOPEZ VELAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150297

License Status

NOT RENEWED

Business

Title

First Name

MARCO

Middle

ANTONIO

Last Name

LOPEZ VELAZQUEZ

Business Name

MARCO ANTONIO LOPEZ VELAZQUEZ MD

Original Issue Date

07/22/2019

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023