Indiana
Professional Licensing Agency
Tisha Kay Johnson
Controlled Substance Registration - Physician
License number
01061473B
Date granted
02/06/2006
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1471 Chester Blvd, Richmond IN 47374
indianalicensing.org
ID 5914555
LAST UPDATED 2024-04-17 12:39:37 UTC
LAST UPDATED 2024-04-17 12:39:37 UTC
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