Indiana
Professional Licensing Agency
John Bernard Johnson, III
Controlled Substance Registration - Dentist
License number
12007783B
Date granted
01/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6215 Central Ave., Portage IN 46368
indianalicensing.org
ID 5119123
LAST UPDATED 2026-09-03 23:08:39 UTC
LAST UPDATED 2026-09-03 23:08:39 UTC
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