JOSE ANDRES MORENO LOPEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146907

License Status

NOT RENEWED

Business

Title

First Name

JOSE ANDRES

Last Name

MORENO LOPEZ

Business Name

JOSE ANDRES MORENO LOPEZ MD

Original Issue Date

07/13/2018

Effective Date

07/13/2018

Expiration Date

09/30/2020

City

MARSHFIELD

State

Zip

54449

Ever Disciplined

LastModifiedDate

01/14/2021