HEATHER N LOPEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000859

License Status

EXPIRED

Business

Title

First Name

HEATHER

Middle

Last Name

LOPEZ

Business Name

HEATHER N LOPEZ MD

Original Issue Date

11/07/2019

Effective Date

11/07/2019

Expiration Date

05/06/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2020