Indiana
Professional Licensing Agency
KELLY EDWARD JOHNSON
Controlled Substance Registration - Physician
License number
01041019B
Date granted
01/21/1993
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER-STARKE MEMORIAL HEALTH CENTER, 701 WALL ST, VALPARAISO IN 46383
indianalicensing.org
ID 5928980
LAST UPDATED 2024-02-25 00:27:53 UTC
LAST UPDATED 2024-02-25 00:27:53 UTC
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