J ANTONIO G LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090777

License Status

NOT RENEWED

Business

First Name

J ANTONIO G

Last Name

LOPEZ

Business Name

J ANTONIO G LOPEZ

Original Issue Date

05/27/1995

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BOISE

State

Zip

83706

Ever Disciplined

LastModifiedDate

11/06/2008