Paul D. Johnson, Jr

Controlled Substance Registration - Physician

Indiana  01014786B   Expired

This Indiana license was held by Paul D. Johnson, Jr. The license is no longer active. It was granted on 07/31/1982 and expired on 07/31/1984

LICENSE DETAILS

  • License Number: 01014786B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/31/1982 (almost 43 years ago)
  • Expiry Date: 07/31/1984 (almost 41 years ago)

LOCATIONS

A Address

REVOKED, 822 NORTH 15TH ST, TERRE HAUTE, INDIANA IN 47807