LUIS ALBERTO LOPEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

LUIS

Middle

ALBERTO

Last Name

LOPEZ

Suffix

Business Name

LUIS ALBERTO LOPEZ MD

Original Issue Date

12/06/2000

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

BENTON

State

Zip

62812

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023