Indiana
Professional Licensing Agency
Michael Ramont Johnson
Controlled Substance Registration - Physician
License number
01035838B
Date granted
05/12/1987
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3030 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5854053
LAST UPDATED 2024-05-08 18:36:05 UTC
LAST UPDATED 2024-05-08 18:36:05 UTC
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