Indiana
Professional Licensing Agency
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 27702053
LAST UPDATED 2024-02-06 18:38:11 UTC
LAST UPDATED 2024-02-06 18:38:11 UTC
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