OCTAVIO M LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

OCTAVIO M

Last Name

LOPEZ

Business Name

OCTAVIO M LOPEZ

Original Issue Date

10/10/1989

Effective Date

09/17/2022

Expiration Date

07/31/2023

City

WORTH

State

Zip

60482

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023