License holder summary

Margery Ruth Johnson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Margery Ruth Johnson is Margery R. Johnson, M.D., 318 PINE LAKE AVENUE, La Porte IN 46350. This licensed professional license is not current. The license was granted 12/12/1996 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Margery Ruth Johnson
Controlled Substance Registration - Physician
License number
01042677B
Date granted
12/12/1996
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Margery R. Johnson, M.D., 318 PINE LAKE AVENUE, La Porte IN 46350
indianalicensing.org
ID 5878258
LAST UPDATED 2024-02-28 01:26:22 UTC

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