KELLY ELIZABETH ALLEN-LOPEZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167094

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ELIZABETH

Last Name

ALLEN-LOPEZ

Business Name

KELLY ELIZABETH ALLEN-LOPEZ DO

Original Issue Date

09/19/2023

Effective Date

09/19/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

25213

County

PUTNAM

Ever Disciplined

LastModifiedDate

09/19/2023