Indiana
Professional Licensing Agency
LARRY WAYNE JOHNSON
Controlled Substance Registration - Physician
License number
01027688B
Date granted
08/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1225 EAST COOLSPRING AVENUE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893009
LAST UPDATED 2024-04-29 23:44:33 UTC
LAST UPDATED 2024-04-29 23:44:33 UTC
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