WYLIE Y LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

WYLIE

Middle

Last Name

LOPEZ

Business Name

WYLIE Y LOPEZ MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023