OCTAVIO M LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021569

License Status

EXPIRED

Business

First Name

OCTAVIO M

Last Name

LOPEZ

Business Name

OCTAVIO M LOPEZ

Original Issue Date

07/07/1987

Effective Date

07/07/1987

Expiration Date

06/23/1990

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006