Indiana
Professional Licensing Agency
Andrew Benjamin Johnson
Controlled Substance Registration - Physician
License number
01065271B
Date granted
05/21/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Samaritan Center, 515 Bayou Street, Vincennes IN 47591
indianalicensing.org
ID 5930480
LAST UPDATED 2024-03-06 00:31:49 UTC
LAST UPDATED 2024-03-06 00:31:49 UTC
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