Indiana
Professional Licensing Agency
PATRICIA KENNEY JOHNSON
Controlled Substance Registration - Physician
License number
01036978B
Date granted
08/03/1988
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
417 WEST FIRST STREET, BLOOMINGTON IN 47401
indianalicensing.org
ID 5825450
LAST UPDATED 2024-04-16 17:00:44 UTC
LAST UPDATED 2024-04-16 17:00:44 UTC
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