JOAQUIN D LOPEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

JOAQUIN D

Last Name

LOPEZ

Business Name

JOAQUIN D LOPEZ

Original Issue Date

04/27/1993

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023