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 The license is no longer active.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 35 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
2101 JACKSON STREET, SUITE 012, ANDERSON IN 46016