License holder summary

Kenneth Paul Anderson is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Kenneth Paul Anderson is 11034 Birch Lake Dr., Granger IN 46530. This licensed professional license is not current. The license was granted 06/07/2007 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Kenneth Paul Anderson
Controlled Substance Registration-Osteopathic Physician
License number
02001818C
Date granted
06/07/2007
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
11034 Birch Lake Dr., Granger IN 46530
indianalicensing.org
ID 5801719
LAST UPDATED 2024-03-10 09:34:24 UTC

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