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
LAST UPDATED 2024-03-24 00:01:19 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.