Van Johnson

Controlled Substance Registration - Physician

Indiana  01037881B   Suspended

This Indiana license was held by Van Johnson. The license is no longer active. It was granted on 08/28/1989 and expired on 06/30/1991

LICENSE DETAILS

  • License Number: 01037881B
  • Category: CSR-Physician
  • Status: Suspended
  • Date Granted: 08/28/1989 (over 34 years ago)
  • Expiry Date: 06/30/1991 (almost 33 years ago)

LOCATIONS

A Address

2101 JACKSON STREET, SUITE 012, ANDERSON IN 46016