Indiana
Professional Licensing Agency
Colleen Johnson
Controlled Substance Registration - Dentist
License number
12009194B
Date granted
10/27/1989
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
160 W. Carmel Drive, Suite #281, Carmel IN 46032
indianalicensing.org
ID 5085316
LAST UPDATED 2024-03-31 01:34:07 UTC
LAST UPDATED 2024-03-31 01:34:07 UTC
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