JOHN E LOPES JR

Business Entity
NOT RENEWED

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****29

NOT RENEWED

N

JOHN

E

LOPES

JR

JOHN E LOPES JR

02/14/2001

02/14/2001

03/01/2004

ALBION

IL

62806

EDWARDS

N

10/09/2006