JESUS A LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030612

License Status

EXPIRED

Business

First Name

JESUS A

Last Name

LOPEZ

Business Name

JESUS A LOPEZ

Original Issue Date

07/07/1993

Effective Date

07/07/1993

Expiration Date

08/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006