VIRGILIO D LOPEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

INACTIVE

Business

First Name

VIRGILIO D

Last Name

LOPEZ

Suffix

Business Name

VIRGILIO D LOPEZ MD

Original Issue Date

05/28/1992

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020