License holder summary

Michael William Johansen is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Michael William Johansen is Riley Hospital for Children, 705 Riley Hospital Drive, RR 127, Indianapolis IN 46202. This licensed professional license is current. The license was granted 04/27/2012 and expired on 10/31/2015.

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

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