Tyler G Johnson

Controlled Substance Registration-Osteopathic Physician

Indiana  02003913B   Active

This Indiana license is held by Tyler G Johnson. The license is currently active. It was granted on 08/23/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02003913B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 08/23/2011 (almost 14 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Parkview Hospital, 2200 Randallia Drive, Fort Wayne IN 46805