MAYRA LOPEZ

License Number: APRN11006842

Data As Of 5/20/2024

Profession Advanced Practice Registered Nurse
License APRN11006842
License Status CLEAR/Active
Qualifications Dispensing Practitioner Nurse Practitioner
License Expiration Date 4/30/2025
License Original Issue Date 04/06/2020
Address of Record 4423 Park Blvd
PINELLAS PARK, FL 33781-3540
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) Yes
Discipline on File No
Public Complaint No

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