DAVID A LOPEZ DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146543

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

LOPEZ

Business Name

DAVID A LOPEZ DO

Original Issue Date

01/02/2003

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021