License holder summary

DAVID KEITH JOHNLOZ is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID KEITH JOHNLOZ is 719 SOUTH ROGERS STREET, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

DAVID KEITH JOHNLOZ
Controlled Substance Registration - Physician
License number
01020815B
Date granted
07/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
719 SOUTH ROGERS STREET, BLOOMINGTON IN 47401
indianalicensing.org
ID 5824092
LAST UPDATED 2024-02-17 07:38:03 UTC

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