ALFREDO M LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091192

License Status

NOT RENEWED

Business

Title

First Name

ALFREDO

Middle

Last Name

LOPEZ

Business Name

ALFREDO M LOPEZ MD

Original Issue Date

07/06/1995

Effective Date

02/02/2015

Expiration Date

07/31/2017

City

INDIANAPOLIS

State

Zip

46219

County

INDIANA

Ever Disciplined

LastModifiedDate

11/21/2019

Case Number

2019007581

Action

Refuse To Renew

Discipline Start Date

11/04/2019

Discipline Reason

due to indefinite suspension of his Indiana medical license.