MANUEL ANTONIO LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109773

License Status

NOT RENEWED

Business

First Name

MANUEL

Middle

ANTONIO

Last Name

LOPEZ

Suffix

Business Name

MANUEL ANTONIO LOPEZ MD

Original Issue Date

07/24/2003

Effective Date

07/24/2003

Expiration Date

07/31/2005

City

SAN ANTONIO

State

Zip

78258

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006