HIPOLITO C LOPEZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

HIPOLITO

Middle

Last Name

LOPEZ

Suffix

Business Name

HIPOLITO C LOPEZ JR MD

Original Issue Date

01/01/1997

Effective Date

03/01/2012

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60522

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014