JOEL GUILLERMO LOPEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058843

License Status

CANCELLED

Business

Title

First Name

JOEL

Middle

GUILLERMO

Last Name

LOPEZ

Business Name

JOEL GUILLERMO LOPEZ MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/22/2010