Indiana
Professional Licensing Agency
Stephanie Michelle Johnson
Controlled Substance Registration - Physician
License number
01054624B
Date granted
07/18/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2794 Buttercup Ct. E., Columbus IN 47201
indianalicensing.org
ID 5837248
LAST UPDATED 2024-03-10 06:05:31 UTC
LAST UPDATED 2024-03-10 06:05:31 UTC
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