BIANCA MARIE LOPEZ

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****09

ACTIVE

N

BIANCA

MARIE

LOPEZ

BIANCA MARIE LOPEZ

10/23/2018

01/16/2026

03/01/2028

DES PLAINES

IL

60016

COOK

II III IV V

N

01/16/2026