Indiana
Professional Licensing Agency
Michael William Johansen
Controlled Substance Registration-Osteopathic Physician
License number
02003367B
Date granted
04/27/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Riley Hospital for Children, 705 Riley Hospital Drive, RR 127, Indianapolis IN 46202
indianalicensing.org
ID 5805234
LAST UPDATED 2024-02-21 01:28:12 UTC
LAST UPDATED 2024-02-21 01:28:12 UTC
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