DAVID LOPEZ ROQUE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032324

License Status

EXPIRED

Business

First Name

DAVID

Middle

LOPEZ

Last Name

ROQUE

Suffix

Business Name

DAVID LOPEZ ROQUE MD

Original Issue Date

08/12/1994

Effective Date

08/12/1994

Expiration Date

08/14/1997

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006