License holder summary

Derrick Allen Johnston is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Derrick Allen Johnston is 455 Sheridan Road, Noblesville IN 46060. This licensed professional license is current. The license was granted 10/17/1994 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Derrick Allen Johnston
Controlled Substance Registration - Dentist
License number
12009722B
Date granted
10/17/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
455 Sheridan Road, Noblesville IN 46060
indianalicensing.org
ID 5116738
LAST UPDATED 2024-02-11 15:03:27 UTC

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