License holder summary

Stacie Lynn Johnson is a Physician licensed to practice in Indiana. The address on file for Stacie Lynn Johnson is Dayton OH 45440. This licensed professional license is not current. The license was granted 11/29/2001 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Stacie Lynn Johnson
Physician
License number
01055347A
Date granted
11/29/2001
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Dayton OH 45440
indianalicensing.org
ID 6044438
LAST UPDATED 2024-02-09 01:04:13 UTC

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