License holder summary

SANTIAGO A LOPEZ is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SANTIAGO A LOPEZ is 8127 MERRILLVILLE ROAD, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

SANTIAGO A LOPEZ
Controlled Substance Registration - Physician
License number
01020551B
Date granted
05/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8127 MERRILLVILLE ROAD, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891624
LAST UPDATED 2024-04-24 11:34:17 UTC

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