ROBERT WALTER LOPEZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

WALTER

Last Name

LOPEZ

Business Name

ROBERT WALTER LOPEZ DO

Original Issue Date

09/29/2023

Effective Date

09/29/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2023