License holder summary

Joel Ferdinan San Juan Lopez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Joel Ferdinan San Juan Lopez is FAMILY MEDICINE AND WELLNESS CENTER, 5495 BROADWAY, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 07/21/1999 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Joel Ferdinan San Juan Lopez
Controlled Substance Registration - Physician
License number
01045471C
Date granted
07/21/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY MEDICINE AND WELLNESS CENTER, 5495 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890575
LAST UPDATED 2024-03-01 08:58:05 UTC

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