RAFAEL LOPEZ SANCHEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060363

License Status

CANCELLED

Business

Title

First Name

RAFAEL

Last Name

LOPEZ SANCHEZ

Business Name

RAFAEL LOPEZ SANCHEZ MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/13/2011