Indiana
Professional Licensing Agency
Pamela Jane Johnson
Controlled Substance Registration - Dentist
License number
12010359B
Date granted
07/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1417 Baker Place, Bluffton IN 46714
indianalicensing.org
ID 5083749
LAST UPDATED 2024-03-31 14:25:36 UTC
LAST UPDATED 2024-03-31 14:25:36 UTC
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