License holder summary

Stacy D. Johnson, D.D.S., M.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Stacy D. Johnson, D.D.S., M.S. is 3056 West Stones Crossing Road, Greenwood IN 46143. This licensed professional license is current. The license was granted 12/08/2004 and expired on 12/13/2016.

Indiana

Professional Licensing Agency

Stacy D. Johnson, D.D.S., M.S.
Radiology - Radiation Facility Dental
License number
XF902921
Date granted
12/08/2004
Date expires
12/13/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3056 West Stones Crossing Road, Greenwood IN 46143
indianalicensing.org
ID 24932806
LAST UPDATED 2024-05-10 15:56:47 UTC

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