EDWIN LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095750

License Status

NOT RENEWED

Business

First Name

EDWIN

Last Name

LOPEZ

Suffix

Business Name

EDWIN LOPEZ MD

Original Issue Date

06/24/1997

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

MIAMI SHORES

State

Zip

33138

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014