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LUIS ANGEL LOPEZ

License Number: ACN390

Data As Of 7/16/2025

Profession
Area of Critical Need Medical Doctor
License
ACN390
License Status
Clear/Active
License Expiration Date
1/31/2026
License Original Issue Date
05/18/2011
Address of Record
4455 Sam Mitchell Dr
Northwest Florida Reception Center
CHIPLEY, FL 32428
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
691 Institution Road
DEFUNIAK SPRINGS, FL 32433
Address
3189 Colonel Greg Malloy Rd
CRESTVIEW, FL 32539
Address
3142 Thomas Drive
BONIFAY, FL 32425
Address
400 Tedder Road
CENTURY, FL 32535
Name Relationship Profession License Effective Date
HOLMES COUNTY CORRECTIONAL INSTITUTION Area of Critical Need Facility Medical Related Process Entity 05/15/2016
NORTHWEST FLORIDA RECEPTION CENTER (MAIN Area of Critical Need Facility Medical Related Process Entity 05/15/2016

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/16/2025



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** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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