Indiana
Professional Licensing Agency
Kenneth Paul Anderson
Controlled Substance Registration-Osteopathic Physician
License number
02001818C
Date granted
06/07/2007
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
11034 Birch Lake Dr., Granger IN 46530
indianalicensing.org
ID 5801719
LAST UPDATED 2024-04-07 02:01:43 UTC
LAST UPDATED 2024-04-07 02:01:43 UTC
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