Indiana
Professional Licensing Agency
Desiree Lynn Johnson
Controlled Substance Registration-Physician Assistant
License number
10001440B
Date granted
09/28/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Princeton Clinic/Healthcare on the Square, 121 N Hart Street, Princeton IN 47670
indianalicensing.org
ID 8388329
LAST UPDATED 2024-04-18 06:54:08 UTC
LAST UPDATED 2024-04-18 06:54:08 UTC
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