ANGELA MENNICKE LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131420

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

MENNICKE

Last Name

LOPEZ

Business Name

ANGELA MENNICKE LOPEZ MD

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

07/31/2014

City

CULVER CITY

State

Zip

90230

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014