JOLANTA A LOPATNIUK LOPEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107502

License Status

NOT RENEWED

Business

First Name

JOLANTA

Middle

Last Name

LOPATNIUK LOPEZ

Business Name

JOLANTA A LOPATNIUK LOPEZ

Original Issue Date

07/22/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008