License holder summary

Devona R. Anderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Devona R. Anderson is Sycamore Primary & Specialty Care, 712 West Main Street, Greentown IN 46936. This licensed professional license is not current. The license was granted 06/12/2007 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Devona R. Anderson
Controlled Substance Registration - Physician
License number
01061169D
Date granted
06/12/2007
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Sycamore Primary & Specialty Care, 712 West Main Street, Greentown IN 46936
indianalicensing.org
ID 5861340
LAST UPDATED 2024-03-28 10:12:06 UTC

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