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
LAST UPDATED 2024-03-16 12:28:08 UTC
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