License holder summary

MARY ANN JOHNSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARY ANN JOHNSON is MARY ANN JOHNSON, 3128 POPLAR STREET, TERRE HAUTE IN 47803. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

MARY ANN JOHNSON
Controlled Substance Registration - Physician
License number
01030490B
Date granted
10/31/1984
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MARY ANN JOHNSON, 3128 POPLAR STREET, TERRE HAUTE IN 47803
indianalicensing.org
ID 5926000
LAST UPDATED 2024-03-16 12:28:08 UTC

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