Indiana
Professional Licensing Agency
Phillip M. Johnson
Controlled Substance Registration - Physician
License number
01030222B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PHYSCIAN ASSOC OF FLOYD KNOBS L L C, 800 HIGHLANDER POINT #300, FLOYDS KNOBS IN 47119
indianalicensing.org
ID 5852742
LAST UPDATED 2024-04-07 22:57:24 UTC
LAST UPDATED 2024-04-07 22:57:24 UTC
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