Jerald E. Johnson
Controlled Substance Registration - Dentist
Indiana 12007352B Active
This Indiana license is held by Jerald E. Johnson. The license is currently active. It was granted on 10/31/1985 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12007352B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/31/1985 (over 39 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
630 Moonlight Bay Circle, Cicero IN 46034-9683
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