License holder summary

Shawn Mark Johnson is a Medical Residency Permit licensed to practice in Indiana. The address on file for Shawn Mark Johnson is Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 06/08/2001 and expired on 06/30/2002.

Indiana

Professional Licensing Agency

Shawn Mark Johnson
Medical Residency Permit
License number
11010631A
Date granted
06/08/2001
Date expires
06/30/2002
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 5979732
LAST UPDATED 2024-02-26 18:41:17 UTC

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