ALEX LOPEZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****51

License Status

NOT RENEWED

Business

Title

First Name

ALEX

Last Name

LOPEZ

Business Name

ALEX LOPEZ OD

Original Issue Date

11/09/2021

Effective Date

11/09/2021

Expiration Date

05/31/2022

City

MOKENA

State

Zip

60448

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022