Carlos Ivan Enciso Lopez
ActiveMichigan license 4301512806
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301512806
- Status
- Active
- First issued
- July 22, 2024
- Expires
- July 22, 2027
- License holder
- Carlos Ivan Enciso Lopez
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons