Indiana
Professional Licensing Agency
Ricky Johnson
Controlled Substance Registration - Physician
License number
01039638B
Date granted
10/09/1991
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH HOSPITAL, 1915 LAKE AVENUE BOX 670, PLYMOUTH IN 46563
indianalicensing.org
ID 5910736
LAST UPDATED 2024-04-17 00:00:32 UTC
LAST UPDATED 2024-04-17 00:00:32 UTC
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