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 2024-03-15 14:55:36 UTC
LAST UPDATED 2024-03-15 14:55:36 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.