License holder summary

Carmen Nicole Johnston is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Carmen Nicole Johnston is 1500 Provident Drive, Ste A, Warsaw IN 46580. This licensed professional license is current. The license was granted 01/27/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Carmen Nicole Johnston
Controlled Substance Registration-Physician Assistant
License number
10001237B
Date granted
01/27/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1500 Provident Drive, Ste A, Warsaw IN 46580
indianalicensing.org
ID 8388718
LAST UPDATED 2024-02-24 04:02:52 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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