License holder summary

Stacy Duane Johnson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stacy Duane Johnson is 3056 W. Stones Crossing Rd., Greenwood IN 46143. This licensed professional license is current. The license was granted 06/25/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Stacy Duane Johnson
Controlled Substance Registration - Dentist
License number
12009239B
Date granted
06/25/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3056 W. Stones Crossing Rd., Greenwood IN 46143
indianalicensing.org
ID 5099556
LAST UPDATED 2024-04-04 03:35:27 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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