License holder summary

Michael Alan Johnson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Alan Johnson is DECATUR DENTAL SERVICES, 6496 NORTH PIQUA ROAD, Decatur IN 46733. This licensed professional license is not current. The license was granted 11/05/2001 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Michael Alan Johnson
Controlled Substance Registration - Dentist
License number
12010412B
Date granted
11/05/2001
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
DECATUR DENTAL SERVICES, 6496 NORTH PIQUA ROAD, Decatur IN 46733
indianalicensing.org
ID 5089420
LAST UPDATED 2024-05-03 14:45:11 UTC

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