License holder summary

MARYALICE LOPEZ is a Board Of Medicine licensed to practice in Idaho. The address on file for MARYALICE LOPEZ is 206 8TH AVE E TWIN FALLS ID 83301. This licensed professional license is not current. The license was granted 05/17/2010 and expired on 06/30/2013.

Idaho

Division of Occupational and Professional Licenses

MARYALICE LOPEZ
Board Of Medicine
License number
MSM-0020
Date granted
05/17/2010
Date expires
06/30/2013
Class
Board Of Medicine
Status
Expired
Address
206 8TH AVE E TWIN FALLS ID 83301
idaholicensing.com
ID 48349499
LAST UPDATED 2026-05-04 11:53:43 UTC

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