Michael William Johansen

Controlled Substance Registration-Osteopathic Physician

Indiana  02003367B   Active

This Indiana license is held by Michael William Johansen. The license is currently active. It was granted on 04/27/2012 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02003367B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 04/27/2012 (about 13 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Riley Hospital for Children, 705 Riley Hospital Drive, RR 127, Indianapolis IN 46202