SARAH MICHELLE LOPEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

MICHELLE

Last Name

LOPEZ

Suffix

DDS

Business Name

SARAH MICHELLE LOPEZ DDS

Original Issue Date

11/23/2019

Effective Date

11/23/2019

Expiration Date

01/31/2022

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III V

Ever Disciplined

LastModifiedDate

05/09/2022