VALERIA C BENAVIDES LOPEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

VALERIA

Middle

Last Name

BENAVIDES LOPEZ

Suffix

Business Name

VALERIA C BENAVIDES LOPEZ MD

Original Issue Date

07/19/2011

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023