License holder summary

Jeffrey David Anderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey David Anderson is MEMORIAL HOSPITAL OF MICHIGAN CITY, FIFTH AND PINE STREETS, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 09/19/1996 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Jeffrey David Anderson
Controlled Substance Registration - Physician
License number
01045557B
Date granted
09/19/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL OF MICHIGAN CITY, FIFTH AND PINE STREETS, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892793
LAST UPDATED 2024-03-08 10:36:39 UTC

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