JOEL GUILLERMO LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131894

License Status

NOT RENEWED

Business

Title

First Name

JOEL

Middle

GUILLERMO

Last Name

LOPEZ

Business Name

JOEL GUILLERMO LOPEZ MD

Original Issue Date

01/02/2013

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CLARKSVILLE

State

Zip

47131

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021