Indiana
Professional Licensing Agency
Ian Johnston
Controlled Substance Registration - Physician
License number
01039175B
Date granted
06/02/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6911 East US Highway 36, Avon IN 46123
indianalicensing.org
ID 5820125
LAST UPDATED 2024-02-02 00:57:33 UTC
LAST UPDATED 2024-02-02 00:57:33 UTC
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