License holder summary

KELLY EDWARD JOHNSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KELLY EDWARD JOHNSON is PORTER-STARKE MEMORIAL HEALTH CENTER, 701 WALL ST, VALPARAISO IN 46383. This licensed professional license is not current. The license was granted 01/21/1993 and expired on 06/30/1993.

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 2026-04-12 04:44:24 UTC

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