PHILIPPE G LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

PHILIPPE G

Last Name

LOPEZ

Business Name

PHILIPPE G LOPEZ

Original Issue Date

08/23/1994

Effective Date

08/23/1994

Expiration Date

07/31/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006