Indiana
Professional Licensing Agency
Stacey Lucrece Johnson
Controlled Substance Registration - Physician
License number
01048655C
Date granted
05/12/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Good Samaritan Hospital, 520 S 7th Street, Vincennes IN 47591
indianalicensing.org
ID 5931559
LAST UPDATED 2024-05-02 20:11:31 UTC
LAST UPDATED 2024-05-02 20:11:31 UTC
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