License holder summary

KELLY ANNE LOPEZ is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KELLY ANNE LOPEZ is Philadelphia PA 19130. This medical practitioner license is current. The license was granted 05/11/2013 and expired on 06/30/2016.

Department of State

Board of Medicine

KELLY ANNE LOPEZ
Graduate Medical Trainee
License number
MT204106
Date granted
05/11/2013
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Philadelphia PA 19130
medicinepa.com
ID 37547968
LAST UPDATED 2021-07-01 21:34:22 UTC

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