RODRIGO IGNACIO LOPEZ-COSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

RODRIGO

Middle

IGNACIO

Last Name

LOPEZ-COSTA

Business Name

RODRIGO IGNACIO LOPEZ-COSTA MD

Original Issue Date

07/20/2017

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023