OCTAVIO M LOPEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

OCTAVIO M

Last Name

LOPEZ

Business Name

OCTAVIO M LOPEZ

Original Issue Date

07/11/2008

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023