License holder summary

Kathleen Marie Johnson is a Medical Residency Permit licensed to practice in Indiana. The address on file for Kathleen Marie Johnson is Paragon IN 46166. This licensed professional license is not current. The license was granted 06/24/1999 and expired on 06/30/2002.

Indiana

Professional Licensing Agency

Kathleen Marie Johnson
Medical Residency Permit
License number
11009311A
Date granted
06/24/1999
Date expires
06/30/2002
Class
Medical Residency Permit
Status
Expired
Address
Paragon IN 46166
indianalicensing.org
ID 5993432
LAST UPDATED 2024-03-28 23:05:19 UTC

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