REGINA R LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044455

License Status

EXPIRED

Business

First Name

REGINA

Middle

Last Name

LOPEZ

Business Name

REGINA R LOPEZ

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Child & Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

07/03/2007