GREGORY J LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

LOPEZ

Business Name

GREGORY J LOPEZ

Original Issue Date

06/16/2008

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014