KATY CECILIA LOPEZ VASQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164498

License Status

ACTIVE

Business

Title

First Name

KATY

Middle

CECILIA

Last Name

LOPEZ VASQUEZ

Business Name

KATY CECILIA LOPEZ VASQUEZ MD

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

FORT DEFIANCE

State

Zip

24437

Ever Disciplined

LastModifiedDate

04/24/2023