CASSANDRA MARIE LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053577

License Status

EXPIRED

Business

Title

First Name

CASSANDRA

Middle

MARIE

Last Name

LOPEZ

Business Name

CASSANDRA MARIE LOPEZ MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010