MANUEL EMILIO LOPEZ 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

MANUEL

Middle

EMILIO

Last Name

LOPEZ

Business Name

MANUEL EMILIO LOPEZ MD

Original Issue Date

02/05/2019

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

O`FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023