ERICA LOPATA KLEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067700

License Status

CANCELLED

Business

Title

First Name

ERICA

Middle

LOPATA

Last Name

KLEIN

Business Name

ERICA LOPATA KLEIN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/25/2018