RICHARD J LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028848

License Status

EXPIRED

Business

First Name

RICHARD J

Last Name

LOPEZ

Business Name

RICHARD J LOPEZ

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

06/30/1995

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006