MARIJO-ANNE LOPEZ MOLINA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064289

License Status

CANCELLED

Business

Title

First Name

MARIJO-ANNE

Middle

LOPEZ

Last Name

MOLINA

Business Name

MARIJO-ANNE LOPEZ MOLINA MD

Original Issue Date

08/26/2013

Effective Date

08/26/2013

Expiration Date

08/25/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

09/12/2016