CARLOS A LOPEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105655

License Status

INACTIVE

Business

First Name

CARLOS

Middle

Last Name

LOPEZ

Suffix

Business Name

CARLOS A LOPEZ MD

Original Issue Date

10/01/2001

Effective Date

10/01/2001

Expiration Date

07/31/2005

City

ANN ARBOR

State

Zip

48103

Ever Disciplined

LastModifiedDate

02/01/2007