CARMEN ELIZABETH LOPEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072560

License Status

CANCELLED

Business

Title

First Name

CARMEN

Middle

ELIZABETH

Last Name

LOPEZ

Business Name

CARMEN ELIZABETH LOPEZ MD

Original Issue Date

06/20/2021

Effective Date

06/20/2021

Expiration Date

06/19/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/23/2021