JEFFREY P LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JEFFREY P

Last Name

LOPEZ

Suffix

Business Name

JEFFREY P LOPEZ MD

Original Issue Date

09/29/1986

Effective Date

09/29/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006