JUAN C LOPEZ DE VICTORIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042669

License Status

EXPIRED

Business

First Name

JUAN

Middle

Last Name

LOPEZ DE VICTORIA

Business Name

JUAN C LOPEZ DE VICTORIA

Original Issue Date

06/18/2001

Effective Date

06/18/2001

Expiration Date

06/17/2006

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006