License holder summary

Mark Christian Johannsen is a Physician licensed to practice in Indiana. The address on file for Mark Christian Johannsen is Fremont NE 68025. This licensed professional license is current. The license was granted 12/23/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Christian Johannsen
Physician
License number
01058528A
Date granted
12/23/2003
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Fremont NE 68025
indianalicensing.org
ID 6055422
LAST UPDATED 2024-05-14 18:24:28 UTC

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