JOEL FERDINAND LOPEZ 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

JOEL FERDINAND

Last Name

LOPEZ

Business Name

JOEL FERDINAND LOPEZ

Original Issue Date

10/30/1995

Effective Date

10/30/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006