License holder summary

Kelly Russell Anderson is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Kelly Russell Anderson is Good Samaritan Hospital CY Dept, 520 South 7th Street, Vincennes IN 47591. This licensed professional license is current. The license was granted 03/27/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kelly Russell Anderson
Controlled Substance Registration-Osteopathic Physician
License number
02001311B
Date granted
03/27/1992
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Good Samaritan Hospital CY Dept, 520 South 7th Street, Vincennes IN 47591
indianalicensing.org
ID 5815102
LAST UPDATED 2024-03-29 21:09:47 UTC

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