RODRIGO IGNACIO LOPEZ-COSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143188

License Status

ACTIVE

Business

Title

First Name

RODRIGO

Middle

IGNACIO

Last Name

LOPEZ-COSTA

Business Name

RODRIGO IGNACIO LOPEZ-COSTA MD

Original Issue Date

05/11/2017

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

Ever Disciplined

LastModifiedDate

07/08/2023