Pearl D Johnson
Controlled Substance Registration - Physician
Indiana 01032078B Active
This Indiana license is held by Pearl D Johnson. The license is currently active. It was granted on 08/31/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01032078B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/31/1986 (almost 40 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
634 1/2 Main Street, Lafayette IN 47901
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