BERTHA A LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028434

License Status

EXPIRED

Business

First Name

BERTHA A

Last Name

LOPEZ

Business Name

BERTHA A LOPEZ

Original Issue Date

05/29/1992

Effective Date

05/29/1992

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006