Indiana
Professional Licensing Agency
Ivan Roger Lopez
Controlled Substance Registration - Physician
License number
01065847B
Date granted
09/17/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart Clinic, 303 S Nappanee Street, Elkhart IN 46514
indianalicensing.org
ID 5847376
LAST UPDATED 2024-03-16 07:20:48 UTC
LAST UPDATED 2024-03-16 07:20:48 UTC
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