ALFONSO P LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066502

License Status

NOT RENEWED

Business

First Name

ALFONSO P

Last Name

LOPEZ

Suffix

Business Name

ALFONSO P LOPEZ MD

Original Issue Date

05/12/1983

Effective Date

05/12/1983

Expiration Date

07/31/1993

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/20/2006