WALTER C JOHANTGEN JR

Controlled Substance Registration - Physician

Indiana  01027081B   Expired

This Indiana license was held by WALTER C JOHANTGEN JR. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01027081B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/28/1986 (over 38 years ago)
  • Expiry Date: 06/30/2001 (almost 23 years ago)

LOCATIONS

A Address

CARMEL ST VINCENT HOSPITAL, 13500 NORTH MERIDIAN STREET, CARMEL IN 46032