ALFREDO M LOPEZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****84

NOT RENEWED

N

MD

ALFREDO

M

LOPEZ

ALFREDO M LOPEZ MD

09/22/2005

09/22/2005

07/31/2008

ELMHURST

IL

60126

DUPAGE

II III IV V

N

04/12/2017