HIPOLITO D LOPEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

HIPOLITO

Middle

Last Name

LOPEZ

Suffix

DDS

Business Name

HIPOLITO D LOPEZ DDS

Original Issue Date

06/09/1999

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2024