Indiana
Professional Licensing Agency
Russell Frederick Johnson
Controlled Substance Registration - Physician
License number
01039533B
Date granted
07/25/1991
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895827
LAST UPDATED 2024-05-17 13:11:29 UTC
LAST UPDATED 2024-05-17 13:11:29 UTC
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