License holder summary

Angela Juanita Anderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Angela Juanita Anderson is 2353 Madison Street, Gary IN 46407. This licensed professional license is current. The license was granted 10/16/2003 and expired on 10/31/2015.

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 2024-03-30 16:50:35 UTC

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