Indiana
Professional Licensing Agency
Paul M. Johnston
Controlled Substance Registration - Physician
License number
01040084B
Date granted
03/27/1992
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Greater Lafayette Health Services, 2400 South Street, LAFAYETTE IN 47904
indianalicensing.org
ID 5880438
LAST UPDATED 2024-04-23 17:35:56 UTC
LAST UPDATED 2024-04-23 17:35:56 UTC
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