PETER P LOPEZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****70

NOT RENEWED

N

MD

PETER

P

LOPEZ

PETER P LOPEZ MD

11/24/1992

11/24/1992

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

04/05/2020