CHRISTIAN SULLANO LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

CHRISTIAN

Middle

SULLANO

Last Name

LOPEZ

Business Name

CHRISTIAN SULLANO LOPEZ MD

Original Issue Date

07/02/2009

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017