Indiana
Professional Licensing Agency
Garland Dewayne Anderson
Controlled Substance Registration - Physician
License number
01019713B
Date granted
11/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2710 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5853326
LAST UPDATED 2024-02-24 05:06:20 UTC
LAST UPDATED 2024-02-24 05:06:20 UTC
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