License holder summary

WALTER C JOHANTGEN JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WALTER C JOHANTGEN JR is CARMEL ST VINCENT HOSPITAL, 13500 NORTH MERIDIAN STREET, CARMEL IN 46032. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

WALTER C JOHANTGEN JR
Controlled Substance Registration - Physician
License number
01027081B
Date granted
02/28/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CARMEL ST VINCENT HOSPITAL, 13500 NORTH MERIDIAN STREET, CARMEL IN 46032
indianalicensing.org
ID 5832442
LAST UPDATED 2024-02-16 10:35:32 UTC

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