Indiana
Professional Licensing Agency
Angela Juanita Anderson
Controlled Substance Registration - Physician
License number
01037923B
Date granted
10/16/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2353 Madison Street, Gary IN 46407
indianalicensing.org
ID 5856135
LAST UPDATED 2024-03-04 17:41:33 UTC
LAST UPDATED 2024-03-04 17:41:33 UTC
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