LAURI FICK LOPP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000190

License Status

EXPIRED

Business

Title

First Name

LAURI

Middle

FICK

Last Name

LOPP

Business Name

LAURI FICK LOPP MD

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

11/30/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006