ANA MICHELLE MENDOZA LOPEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010924

License Status

ACTIVE

Business

First Name

ANA

Middle

MICHELLE

Last Name

MENDOZA LOPEZ

Business Name

ANA MICHELLE MENDOZA LOPEZ

Original Issue Date

11/07/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

INDIANAPOLIS

State

Zip

46222

Ever Disciplined

LastModifiedDate

01/23/2026