JONATHAN JEREMIAH LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063458

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

JEREMIAH

Last Name

LOPEZ

Business Name

JONATHAN JEREMIAH LOPEZ MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015