ALFREDO M LOPEZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

MD

ALFREDO

M

LOPEZ

ALFREDO M LOPEZ MD

09/07/1995

09/07/1995

07/31/2008

INDIANAPOLIS

IN

46219

INDIANA

II III IV V

N

04/12/2017