JAVIER FRANCISCO LOPEZ YUVIENCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124790

License Status

NOT RENEWED

Business

First Name

JAVIER FRANCISCO

Middle

LOPEZ

Last Name

YUVIENCO

Suffix

Business Name

JAVIER FRANCISCO LOPEZ YUVIENCO MD

Original Issue Date

12/30/2009

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014