Indiana
Professional Licensing Agency
Van Johnson
Controlled Substance Registration - Physician
License number
01037881B
Date granted
08/28/1989
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
2101 JACKSON STREET, SUITE 012, ANDERSON IN 46016
indianalicensing.org
ID 5818322
LAST UPDATED 2024-02-10 01:29:55 UTC
LAST UPDATED 2024-02-10 01:29:55 UTC
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