MERCEDES GADEA LOPEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056685

License Status

CANCELLED

Business

Title

First Name

MERCEDES

Last Name

GADEA LOPEZ

Business Name

MERCEDES GADEA LOPEZ MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

02/17/2012