QUYEN THI LOPEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005040

License Status

ACTIVE

Business

First Name

QUYEN

Middle

THI

Last Name

LOPEZ

Business Name

QUYEN THI LOPEZ

Original Issue Date

04/10/2014

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025