MANUEL ENRIQUE LOPEZ DIAZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135393

License Status

INACTIVE

Business

Title

First Name

MANUEL

Middle

ENRIQUE

Last Name

LOPEZ DIAZ

Business Name

MANUEL ENRIQUE LOPEZ DIAZ MD

Original Issue Date

05/30/2014

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

MIAMI

State

Zip

33185

Ever Disciplined

LastModifiedDate

04/05/2020