Indiana
Professional Licensing Agency
Jerisa Chateen Johnson
Controlled Substance Registration-Osteopathic Physician
License number
02003318B
Date granted
03/13/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Surgical Hospital of Munster, 7847 Calumet Avenue, Munster IN 46321
indianalicensing.org
ID 5809986
LAST UPDATED 2024-04-04 00:41:00 UTC
LAST UPDATED 2024-04-04 00:41:00 UTC
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