Manuel Lopez, Jr.

Controlled Substance Registration - Dentist

Indiana  12009573C   Active

This Indiana license is held by Manuel Lopez, Jr.. The license is currently active. It was granted on 07/28/1997 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009573C
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/28/1997 (almost 28 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

51410 Bittersweet Rd., Granger IN 46530