License holder summary

BRIAN NATHANAEL ANDERSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BRIAN NATHANAEL ANDERSON is 626 NORTH LAFAYETTE BLVD 2 F, SOUTH BEND IN 46601. This licensed professional license is not current. The license was granted 07/11/1990 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

BRIAN NATHANAEL ANDERSON
Controlled Substance Registration - Physician
License number
01038549B
Date granted
07/11/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
626 NORTH LAFAYETTE BLVD 2 F, SOUTH BEND IN 46601
indianalicensing.org
ID 5920538
LAST UPDATED 2024-04-13 06:44:14 UTC

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