License holder summary

MARIA LOUELLA LOPEZ VIVINO is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MARIA LOUELLA LOPEZ VIVINO is Danville PA 17821. This medical practitioner license is not current. The license was granted 12/08/2005 and expired on 12/31/2012.

Department of State

Board of Medicine

MARIA LOUELLA LOPEZ VIVINO
Medical Physician And Surgeon
License number
MD428027
Date granted
12/08/2005
Date expires
12/31/2012
Class
Medical Physician And Surgeon
Status
Inactive
Address
Danville PA 17821
medicinepa.com
ID 37686131
LAST UPDATED 2024-03-27 03:57:56 UTC

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