REGINA R LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118158

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

LOPEZ

Business Name

REGINA R LOPEZ

Original Issue Date

04/17/2007

Effective Date

12/22/2020

Expiration Date

07/31/2023

City

PARKVILLE

State

Zip

64152

Ever Disciplined

LastModifiedDate

11/30/2023