LUIS ALFREDO LOPEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065167

License Status

CANCELLED

Business

Title

First Name

LUIS

Middle

ALFREDO

Last Name

LOPEZ

Business Name

LUIS ALFREDO LOPEZ MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/10/2014