JUAN C LOPEZ DE VICTORIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

LOPEZ DE VICTORIA

Business Name

JUAN C LOPEZ DE VICTORIA

Original Issue Date

05/22/2006

Effective Date

05/22/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008