License holder summary

JUAN MANUEL LOPEZ is a Physician licensed to practice in Indiana. The address on file for JUAN MANUEL LOPEZ is FAIRBANKS AK 99709. This licensed professional license is not current. The license was granted 09/04/1985 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

JUAN MANUEL LOPEZ
Physician
License number
01034636A
Date granted
09/04/1985
Date expires
06/30/1991
Class
Physician
Status
Expired Non-Renewable
Address
FAIRBANKS AK 99709
indianalicensing.org
ID 6050193
LAST UPDATED 2024-04-13 18:12:21 UTC

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