EZEQUIEL P LOPEZ PRESAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

EZEQUIEL

Middle

Last Name

LOPEZ PRESAS

Suffix

Business Name

EZEQUIEL P LOPEZ PRESAS MD

Original Issue Date

12/28/1999

Effective Date

12/28/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020