License holder summary

Jerald E. Johnson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jerald E. Johnson is 630 Moonlight Bay Circle, Cicero IN 46034-9683. This licensed professional license is current. The license was granted 10/31/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jerald E. Johnson
Controlled Substance Registration - Dentist
License number
12007352B
Date granted
10/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
630 Moonlight Bay Circle, Cicero IN 46034-9683
indianalicensing.org
ID 5086664
LAST UPDATED 2024-02-23 01:59:48 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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