Indiana
Professional Licensing Agency
Jose Lopez
Controlled Substance Registration - Physician
License number
01053941B
Date granted
06/01/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
420 W Longest Street, P O Box 270, Paoli IN 47454
indianalicensing.org
ID 5908785
LAST UPDATED 2024-04-06 14:30:49 UTC
LAST UPDATED 2024-04-06 14:30:49 UTC
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