License holder summary

Paul D. Johnson, Jr is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Paul D. Johnson, Jr is REVOKED, 822 NORTH 15TH ST, TERRE HAUTE, INDIANA IN 47807. This licensed professional license is not current. The license was granted 07/31/1982 and expired on 07/31/1984.

Indiana

Professional Licensing Agency

Paul D. Johnson, Jr
Controlled Substance Registration - Physician
License number
01014786B
Date granted
07/31/1982
Date expires
07/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
REVOKED, 822 NORTH 15TH ST, TERRE HAUTE, INDIANA IN 47807
indianalicensing.org
ID 5926211
LAST UPDATED 2024-02-22 20:17:33 UTC

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