PAMELA ESTEKANIA OVIECLE LOPEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000574

License Status

EXPIRED

Business

First Name

PAMELA

Middle

ESTEKANIA

Last Name

OVIECLE LOPEZ

Business Name

PAMELA ESTEKANIA OVIECLE LOPEZ

Original Issue Date

03/16/2022

Effective Date

03/16/2022

Expiration Date

09/12/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/15/2023