License holder summary

KENNETH WAGNER ANDERSON III is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH WAGNER ANDERSON III is MEMORIAL HOSPITAL OF MICHIGAN CITY, FITH AND PINE STREETS, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 10/27/1994 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

KENNETH WAGNER ANDERSON III
Controlled Substance Registration - Physician
License number
01043239B
Date granted
10/27/1994
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL OF MICHIGAN CITY, FITH AND PINE STREETS, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892958
LAST UPDATED 2026-05-23 13:09:01 UTC

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