LAURI FICK LOPP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

LAURI

Middle

FICK

Last Name

LOPP

Business Name

LAURI FICK LOPP MD

Original Issue Date

05/18/2006

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023