MARIJO-ANNE LOPEZ MOLINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141641

License Status

NOT RENEWED

Business

Title

First Name

MARIJO-ANNE

Middle

LOPEZ

Last Name

MOLINA

Business Name

MARIJO-ANNE LOPEZ MOLINA MD

Original Issue Date

09/02/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021