IVAN R LOPEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

IVAN

Middle

Last Name

LOPEZ

Business Name

IVAN R LOPEZ

Original Issue Date

07/14/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023