LICIA ANN LOPEZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081537

License Status

ACTIVE

Business

Title

First Name

LICIA

Middle

ANN

Last Name

LOPEZ

Business Name

LICIA ANN LOPEZ DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/02/2023