BERT K LOPANSRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036113

License Status

EXPIRED

Business

First Name

BERT

Middle

Last Name

LOPANSRI

Suffix

Business Name

BERT K LOPANSRI MD

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

06/21/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2010