Stacy D. Johnson, D.D.S., M.S.

Radiology - Radiation Machine Dental

Indiana  XM016775   Active

This Indiana license is held by Stacy D. Johnson, D.D.S., M.S.. The license is currently active. It was granted on 01/24/2008 and expired on 12/13/2016

LICENSE DETAILS

  • License Number: XM016775
  • Category: Radiation Machine - Dental
  • Status: Active
  • Date Granted: 01/24/2008 (over 16 years ago)
  • Expiry Date: 12/13/2016 (over 7 years ago)

LOCATIONS

A Address

Tube # - 6 A, Greenwood IN 46143-6484