ORLANDO LOPEZ FERNANDEZ JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

NOT RENEWED

N

ORLANDO LOPEZ

FERNANDEZ JR

MD

ORLANDO LOPEZ FERNANDEZ JR MD

01/01/1997

09/01/1982

CHICAGO

IL

60652

COOK

II III IV V

N

09/26/2006