MEGAN LOPEZ GONZALEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079104

License Status

CANCELLED

Business

Title

First Name

MEGAN

Middle

LOPEZ

Last Name

GONZALEZ

Business Name

MEGAN LOPEZ GONZALEZ MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/16/2021