JOEL GUILLERMO LOPEZ MD - Medical Doctor License in Indiana | # 036131894

JOEL GUILLERMO LOPEZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131894

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JOEL

Middle

GUILLERMO

Last Name

LOPEZ

Business Name

JOEL GUILLERMO LOPEZ MD

Original Issue Date

01/02/2013

Effective Date

07/11/2017

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021