License holder summary

Manuel Lopez, Jr. is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Manuel Lopez, Jr. is 51410 Bittersweet Rd., Granger IN 46530. This licensed professional license is current. The license was granted 07/28/1997 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Manuel Lopez, Jr.
Controlled Substance Registration - Dentist
License number
12009573C
Date granted
07/28/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
51410 Bittersweet Rd., Granger IN 46530
indianalicensing.org
ID 5098425
LAST UPDATED 2024-03-24 00:01:19 UTC

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