Jose Lopez
Controlled Substance Registration - Physician
Indiana 01053941B Active
This Indiana license is held by Jose Lopez. The license is currently active. It was granted on 06/01/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01053941B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/01/2001 (about 25 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
420 W Longest Street, P O Box 270, Paoli IN 47454
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