ALICIA LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049279

License Status

EXPIRED

Business

First Name

ALICIA

Last Name

LOPEZ

Suffix

Business Name

ALICIA LOPEZ MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008