Indiana
Professional Licensing Agency
Mark Leslie Johnson
Controlled Substance Registration - Dentist
License number
12007250B
Date granted
07/31/1986
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
VETERANS ADMIN HOSP-DENT DEPT, EAST 38TH STREET, MARION IN 46952
indianalicensing.org
ID 5110195
LAST UPDATED 2024-02-23 22:39:37 UTC
LAST UPDATED 2024-02-23 22:39:37 UTC
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