Indiana
Professional Licensing Agency
Milton Frederick Johanboeke, Jr.
Controlled Substance Registration - Dentist
License number
12010214B
Date granted
01/13/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1105 Clifty Drive, Madison IN 47250-1614
indianalicensing.org
ID 5109705
LAST UPDATED 2024-02-05 04:03:43 UTC
LAST UPDATED 2024-02-05 04:03:43 UTC
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