License holder summary

Tyler G Johnson is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Tyler G Johnson is Parkview Hospital, 2200 Randallia Drive, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 08/23/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Tyler G Johnson
Controlled Substance Registration-Osteopathic Physician
License number
02003913B
Date granted
08/23/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Parkview Hospital, 2200 Randallia Drive, Fort Wayne IN 46805
indianalicensing.org
ID 5800918
LAST UPDATED 2024-03-11 07:49:29 UTC

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