MANUEL ANTONIO LOPEZ MD - Medical Doctor License in Texas | # 036109773

MANUEL ANTONIO LOPEZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109773

License Status

NOT RENEWED

Business

N

First Name

MANUEL

Middle

ANTONIO

Last Name

LOPEZ

Suffix

MD

Business Name

MANUEL ANTONIO LOPEZ MD

Original Issue Date

07/24/2003

Effective Date

07/24/2003

Expiration Date

07/31/2005

State

TX

Ever Disciplined

N

LastModifiedDate

10/09/2006