License holder summary

ERNEST ANDERSON JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ERNEST ANDERSON JR is 1601 E PAULDING ROAD #1, FORT WAYNE IN 46816. This licensed professional license is not current. The license was granted 11/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

ERNEST ANDERSON JR
Controlled Substance Registration - Physician
License number
01017389B
Date granted
11/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1601 E PAULDING ROAD #1, FORT WAYNE IN 46816
indianalicensing.org
ID 5853297
LAST UPDATED 2024-04-01 17:36:53 UTC

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