License holder summary

AMANTE AGUSTIN LOPEZ is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for AMANTE AGUSTIN LOPEZ is BRIDGEPORT WV 26330. This medical practitioner license is not current. The license was granted 12/06/1994 and expired on 12/31/2004.

Department of State

Board of Medicine

AMANTE AGUSTIN LOPEZ
Medical Physician And Surgeon
License number
MD052761L
Date granted
12/06/1994
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Expired
Address
BRIDGEPORT WV 26330
medicinepa.com
ID 37638304
LAST UPDATED 2024-03-26 00:50:08 UTC

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