Indiana
Professional Licensing Agency
WALTER OCAMPO ANDERSON
Controlled Substance Registration - Physician
License number
01043706B
Date granted
10/01/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
MADISON STATE HOSPITAL, 711 GREEN ROAD, Madison IN 47250
indianalicensing.org
ID 5887550
LAST UPDATED 2024-04-14 15:32:43 UTC
LAST UPDATED 2024-04-14 15:32:43 UTC
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