License holder summary

PATRICIA KENNEY JOHNSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PATRICIA KENNEY JOHNSON is 417 WEST FIRST STREET, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 08/03/1988 and expired on 06/30/1991.

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

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