License holder summary

Nina Fukunaga Johnson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nina Fukunaga Johnson is Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 07/21/1997 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Nina Fukunaga Johnson
Controlled Substance Registration - Physician
License number
01046939B
Date granted
07/21/1997
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895676
LAST UPDATED 2024-02-28 10:23:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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