CARRIE L LOPEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

LOPEZ

Business Name

CARRIE L LOPEZ

Original Issue Date

03/13/2001

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

OTTAWA

State

Zip

61350

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026