MARITZA LOPEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085743

License Status

INACTIVE

Business

First Name

MARITZA

Last Name

LOPEZ

Suffix

Business Name

MARITZA LOPEZ MD

Original Issue Date

12/18/1992

Effective Date

12/18/1992

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006