DAVID A LOPEZ DO - Pharmacist License in Illinois | # 049146543

DAVID A LOPEZ DO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146543

License Status

NOT RENEWED

Business

N

Title

DO

First Name

DAVID

Middle

A

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021