FABIAN A LOPEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

FABIAN

Middle

Last Name

LOPEZ

Business Name

FABIAN A LOPEZ MD

Original Issue Date

02/25/2024

Effective Date

02/25/2024

Expiration Date

07/31/2026

City

MIAMI BEACH

State

Zip

33139

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2024