JAVIER FRANCISCO LOPEZ YUVIENCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

JAVIER FRANCISCO

Middle

LOPEZ

Last Name

YUVIENCO

Suffix

Business Name

JAVIER FRANCISCO LOPEZ YUVIENCO MD

Original Issue Date

12/31/2009

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014