Idaho
Division of Occupational and Professional Licenses
ANDREA LOPEZ
Board Of Medicine
License number
LRT-512
Date granted
09/07/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
489 Stanton Blvd Ontario OR 97914
idaholicensing.com
ID 48349487
LAST UPDATED 2024-03-30 00:59:29 UTC
LAST UPDATED 2024-03-30 00:59:29 UTC
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