JEFFREY PAUL LOPEZ
Controlled Substance Registration - Physician
Indiana 01034561B Expired
This Indiana license was held by JEFFREY PAUL LOPEZ. The license is no longer active. It was granted on 12/16/1987 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01034561B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/16/1987 (over 37 years ago)
- Expiry Date: 06/30/1989 (almost 36 years ago)
LOCATIONS
A Address
HOLY CROSS PARKVIEW HOSPITAL, 1915 LAKE AVENUE, PLYMOUTH IN 46563