License holder summary

N ISAURA LOPEZ THIBAULT is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for N ISAURA LOPEZ THIBAULT is Bala Cynwyd PA 19004. This medical practitioner license is current. The license was granted 12/07/1999 and expired on 12/31/2016.

Department of State

Board of Medicine

N ISAURA LOPEZ THIBAULT
Medical Physician And Surgeon
License number
MD070092L
Date granted
12/07/1999
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Bala Cynwyd PA 19004
medicinepa.com
ID 37639051
LAST UPDATED 2024-04-25 15:28:38 UTC

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