Tisha Kay Johnson

Controlled Substance Registration - Physician

Indiana  01061473B   Expired

This Indiana license was held by Tisha Kay Johnson. The license is no longer active. It was granted on 02/06/2006 and expired on 06/30/2011

LICENSE DETAILS

  • License Number: 01061473B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/06/2006 (over 20 years ago)
  • Expiry Date: 06/30/2011 (almost 15 years ago)

LOCATIONS

A Address

1471 Chester Blvd, Richmond IN 47374