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Jonathan
Jonathan
Lopez
Medical doctor
Dermatology
Tampa, United States
Profile Privacy
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Jonathan Lopez
Job Title
Medical Doctor
License Number
ME133606
License Status
Clear/Active
License Issue Date
10/08/2017
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
Jonathan Lopez
Job Title
Medical Doctor
Location
Tampa, FL, USA
LIC ID
134605
Current License Expiration Date
31/01/2026
Original Date
10/08/2017
Professional Rank Code
ME
Effective Date
10/08/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
Suite 570
Practice Location Address Line 1
2727 W DR MLK BLVD, STE 570
Practice Location Address Line 2
TAMPA BAY DERMATOLOGY, LLC
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33607
Prescribing Indicator
N
Florida Health Source
Full name
Jonathan Lopez
Job Title
Medical Doctor
Location
33607, Tampa, FL, USA
License Status
CLEAR/ACTIVE
Year Began Practicing
25/06/2013
Other State Licenses State
MINNESOTA
Other State Licenses Profession
PHYSICIAN
Institution Name 1
UNIVERSITY OF SOUTH FLORIDA
Dates of Attendance 1
10/08/2009 - 10/05/2013
Graduation Date 1
10/05/2013
Speciality Board
AMERICAN BOARD OF DERMATOLOGY
Certification
D - DERMATOLOGY
License Expiry Date
31/01/2026
Memberships
This practitioner has not indicated any committees on which they serve for any health entity with which they are affiliated.
Professional Web Page
www.TampaMohs.com
Affiliations
This practitioner has not provided any national, state, local, county, or professional affiliations.
Board
BOARD OF MEDICINE
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