ALICIA LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

ALICIA

Last Name

LOPEZ

Suffix

Business Name

ALICIA LOPEZ MD

Original Issue Date

07/24/2014

Effective Date

07/13/2020

Expiration Date

07/31/2023

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023