License holder summary

Dwayne Edward Johnson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dwayne Edward Johnson is 3542 N Western Avenue, Connersville IN 47331. This licensed professional license is current. The license was granted 05/07/2014 and expired on 10/31/2015.

Indiana

Board of Licensing

Dwayne Edward Johnson
Controlled Substance Registration - Physician
License number
01073977B
Date granted
05/07/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3542 N Western Avenue, Connersville IN 47331
indianalicensing.org
ID 22437760
LAST UPDATED 2021-01-05 15:36:53 UTC

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