NICHOLAS ADAM LOPEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156797

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

ADAM

Last Name

LOPEZ

Business Name

NICHOLAS ADAM LOPEZ MD

Original Issue Date

05/03/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

04/11/2023