Mark Leslie Johnson
Controlled Substance Registration - Dentist
Indiana 12007250B Expired
This Indiana license was held by Mark Leslie Johnson. The license is no longer active. It was granted on 07/31/1986 and expired on 03/01/1990
LICENSE DETAILS
- License Number: 12007250B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/31/1986 (over 38 years ago)
- Expiry Date: 03/01/1990 (about 35 years ago)
LOCATIONS
A Address
VETERANS ADMIN HOSP-DENT DEPT, EAST 38TH STREET, MARION IN 46952