CARRIE L LOPEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000855

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

LOPEZ

Business Name

CARRIE L LOPEZ

Original Issue Date

01/08/1997

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/23/2026