License holder summary

Johan Winoto is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Johan Winoto is Elkhart Clinic, LLC, 303 S Nappanee Street, Elkhart IN 46514. This licensed professional license is not current. The license was granted 02/03/2006 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Johan Winoto
Controlled Substance Registration - Physician
License number
01061721B
Date granted
02/03/2006
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart Clinic, LLC, 303 S Nappanee Street, Elkhart IN 46514
indianalicensing.org
ID 5847540
LAST UPDATED 2024-04-17 09:39:04 UTC

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