License holder summary

Kenneth Charles Anderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kenneth Charles Anderson is 207 SPARKS AVENUE #402, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 01/12/1988 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Kenneth Charles Anderson
Controlled Substance Registration - Physician
License number
01036375B
Date granted
01/12/1988
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
207 SPARKS AVENUE #402, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873398
LAST UPDATED 2024-02-21 11:04:00 UTC

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