REGINA R LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

LOPEZ

Business Name

REGINA R LOPEZ

Original Issue Date

09/18/2007

Effective Date

12/22/2020

Expiration Date

07/31/2023

City

KANSAS CITY

State

Zip

64155

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023