MANUEL ENRIQUE LOPEZ DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

MANUEL

Middle

ENRIQUE

Last Name

LOPEZ DIAZ

Business Name

MANUEL ENRIQUE LOPEZ DIAZ MD

Original Issue Date

06/02/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MIAMI

State

Zip

33185

County

FLORIDA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021