MARCOS A LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MARCOS A

Last Name

LOPEZ

Business Name

MARCOS A LOPEZ

Original Issue Date

07/14/2003

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020