QUYEN THI LOPEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

QUYEN

Middle

THI

Last Name

LOPEZ

Business Name

QUYEN THI LOPEZ

Original Issue Date

06/05/2014

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

GREAT LAKES

State

Zip

60088

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025