ENRIQUE MARTINEZ LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ENRIQUE MARTINEZ

Last Name

LOPEZ

Suffix

Business Name

ENRIQUE MARTINEZ LOPEZ MD

Original Issue Date

01/01/1997

Effective Date

02/05/2013

Expiration Date

07/31/2014

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014