MANUEL EMILIO LOPEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147907

License Status

ACTIVE

Business

Title

First Name

MANUEL

Middle

EMILIO

Last Name

LOPEZ

Business Name

MANUEL EMILIO LOPEZ MD

Original Issue Date

12/17/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/06/2023