ORLANDO A LOPEZ-ROMAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

NOT RENEWED

N

MD

ORLANDO

A

LOPEZ-ROMAN

ORLANDO A LOPEZ-ROMAN MD

05/15/2007

05/15/2007

07/31/2008

CHICAGO

IL

60637

COOK

PRACTITIONER

II III IV V

N

11/06/2008