MARIJO-ANNE LOPEZ MOLINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

MARIJO-ANNE

Middle

LOPEZ

Last Name

MOLINA

Business Name

MARIJO-ANNE LOPEZ MOLINA MD

Original Issue Date

09/02/2016

Effective Date

09/25/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021