License holder summary

Van Johnson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Van Johnson is 2101 JACKSON STREET, SUITE 012, ANDERSON IN 46016. This licensed professional license is not current. The license was granted 08/28/1989 and expired on 06/30/1991.

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

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