DAVID LOPEZ ROQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

DAVID

Middle

LOPEZ

Last Name

ROQUE

Suffix

Business Name

DAVID LOPEZ ROQUE MD

Original Issue Date

09/19/1996

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023