License holder summary

PAMELA CAROL JOHNSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PAMELA CAROL JOHNSON is TERRE HAUTE REGIONAL, 1206 E NATIONAL AVENUE, BRAZIL IN 47834. This licensed professional license is not current. The license was granted 09/16/1996 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

PAMELA CAROL JOHNSON
Controlled Substance Registration - Physician
License number
01045694B
Date granted
09/16/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
TERRE HAUTE REGIONAL, 1206 E NATIONAL AVENUE, BRAZIL IN 47834
indianalicensing.org
ID 5827797
LAST UPDATED 2024-03-10 15:05:32 UTC

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