License holder summary

Mark R. Johnson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark R. Johnson is 304 NORRIS AVE, NORTH VERNON IN 47265. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Mark R. Johnson
Controlled Substance Registration - Dentist
License number
12008101B
Date granted
07/31/1986
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
304 NORRIS AVE, NORTH VERNON IN 47265
indianalicensing.org
ID 5117076
LAST UPDATED 2024-04-23 19:45:43 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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