Indiana
Professional Licensing Agency
Danielle Leigh Johnson
Controlled Substance Registration-Physician Assistant
License number
10001421B
Date granted
01/28/2014
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Diveris Orthopedics & Sports Medicine PC, 333 W. 89th Avenue, Suite W-5, Merrillville IN 46410
indianalicensing.org
ID 29179992
LAST UPDATED 2024-04-06 15:42:46 UTC
LAST UPDATED 2024-04-06 15:42:46 UTC
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