License holder summary

Joseph Alexander Lopez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Joseph Alexander Lopez is 2122 CASS STREET, FORT WAYNE IN 46808. This licensed professional license is not current. The license was granted 05/04/1987 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Joseph Alexander Lopez
Controlled Substance Registration - Physician
License number
01035734B
Date granted
05/04/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2122 CASS STREET, FORT WAYNE IN 46808
indianalicensing.org
ID 5853754
LAST UPDATED 2024-04-11 22:45:54 UTC

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