License holder summary

MARISA RAQUEL LOPEZ RODRIGUEZ is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MARISA RAQUEL LOPEZ RODRIGUEZ is Bethlehem PA 18017. This medical practitioner license is not current. The license was granted 06/10/2002 and expired on 06/30/2005.

Department of State

Board of Medicine

MARISA RAQUEL LOPEZ RODRIGUEZ
Graduate Medical Trainee
License number
MT180543
Date granted
06/10/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Bethlehem PA 18017
medicinepa.com
ID 37546958
LAST UPDATED 2024-02-08 19:10:10 UTC

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