Stacy Duane Johnson
Controlled Substance Registration - Dentist
Indiana 12009239B Active
This Indiana license is held by Stacy Duane Johnson. The license is currently active. It was granted on 06/25/1990 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009239B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/25/1990 (almost 34 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
3056 W. Stones Crossing Rd., Greenwood IN 46143
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