Indiana
Professional Licensing Agency
Efren Raul Lopez
Controlled Substance Registration - Physician
License number
01022244B
Date granted
05/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3412 MT VERNON DRIVE, VINCENNES IN 47591
indianalicensing.org
ID 5930701
LAST UPDATED 2024-04-03 10:27:21 UTC
LAST UPDATED 2024-04-03 10:27:21 UTC
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