GRETCHEN DIAZ LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059099

License Status

NOT RENEWED

Business

First Name

GRETCHEN DIAZ

Last Name

LOPEZ

Suffix

Business Name

GRETCHEN DIAZ LOPEZ MD

Original Issue Date

08/20/1979

Effective Date

09/28/2017

Expiration Date

09/30/2020

City

DALTON

State

Zip

30720

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021