EUGENE LOPEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

EUGENE

Last Name

LOPEZ

Suffix

Business Name

EUGENE LOPEZ MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006