Manuel Lopez, Jr.
Controlled Substance Registration - Dentist
Indiana 12009573B Expired
This Indiana license was held by Manuel Lopez, Jr.. The license is no longer active. It was granted on 07/23/1993 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 12009573B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/23/1993 (almost 32 years ago)
- Expiry Date: 03/01/2006 (about 19 years ago)
LOCATIONS
A Address
1005 EAST LASALLE AVENUE, SOUTH BEND IN 46617