REBECKA RIANNE LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134586

License Status

NOT RENEWED

Business

Title

First Name

REBECKA

Middle

RIANNE

Last Name

LOPEZ

Business Name

REBECKA RIANNE LOPEZ MD

Original Issue Date

02/18/2014

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021