Jessica Denise Lopez
Controlled Substance Registration - Physician
Indiana 01059534B Active
This Indiana license is held by Jessica Denise Lopez. The license is currently active. It was granted on 08/02/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01059534B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/02/2004 (about 22 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Pediatric Associates of Avon, 1115 Ronald Reagan Parkway Suite 136, Avon IN 46123
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