STEPHANIE MAYA LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000222

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

MAYA

Last Name

LOPEZ

Suffix

Business Name

STEPHANIE MAYA LOPEZ MD

Original Issue Date

03/01/2005

Effective Date

03/01/2005

Expiration Date

08/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Psychiatry/Family Practice

Ever Disciplined

LastModifiedDate

09/25/2006