JESSE J LOPEZ JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023977

License Status

EXPIRED

Business

First Name

JESSE J

Last Name

LOPEZ JR

Suffix

Business Name

JESSE J LOPEZ JR DO

Original Issue Date

05/24/1989

Effective Date

05/24/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006