MARIANA LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043127

License Status

EXPIRED

Business

First Name

MARIANA

Last Name

LOPEZ

Business Name

MARIANA LOPEZ

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

10/11/2004

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/03/2006