License holder summary

Jessica Denise Lopez is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jessica Denise Lopez is Avon IN 46123. This licensed professional license is not current. The license was granted 06/22/2001 and expired on 06/30/2004.

Indiana

Professional Licensing Agency

Jessica Denise Lopez
Medical Residency Permit
License number
11010758A
Date granted
06/22/2001
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Superceded
Address
Avon IN 46123
indianalicensing.org
ID 5968294
LAST UPDATED 2024-01-24 02:43:05 UTC

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