HUMBERTO LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032235

License Status

EXPIRED

Business

First Name

HUMBERTO

Last Name

LOPEZ

Suffix

Business Name

HUMBERTO LOPEZ MD

Original Issue Date

07/19/1994

Effective Date

07/19/1994

Expiration Date

07/18/1997

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006