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 2026-04-01 21:03:20 UTC
LAST UPDATED 2026-04-01 21:03:20 UTC
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