License holder summary

Keith Alan Lopatka is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keith Alan Lopatka is 275 Joliet Street, Suite 225, Dyer IN 46311. This licensed professional license is current. The license was granted 02/11/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Keith Alan Lopatka
Controlled Substance Registration - Physician
License number
01056082B
Date granted
02/11/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
275 Joliet Street, Suite 225, Dyer IN 46311
indianalicensing.org
ID 5844417
LAST UPDATED 2024-03-26 23:06:20 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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