SARAH MICHELLE LOPEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026758

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

MICHELLE

Last Name

LOPEZ

Suffix

DDS

Business Name

SARAH MICHELLE LOPEZ DDS

Original Issue Date

06/06/2005

Effective Date

11/23/2019

Expiration Date

01/31/2022

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

05/09/2022