Michael Alan Johnson

Controlled Substance Registration - Dentist

Indiana  12010412C   Active

This Indiana license is held by Michael Alan Johnson. The license is currently active. It was granted on 02/04/2002 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010412C
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 02/04/2002 (over 22 years ago)
  • Expiry Date: 03/01/2016 (over 8 years ago)

LOCATIONS

A Address

GENEVA DENTAL CLINIC, 447 LINE ST, Geneva IN 46740