EDGAR RUBEN LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076761

License Status

EXPIRED

Business

Title

First Name

EDGAR

Middle

RUBEN

Last Name

LOPEZ

Business Name

EDGAR RUBEN LOPEZ MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024