License holder summary

Mark William Anderson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark William Anderson is 8240 Naab Road, Suite 355, Indianapolis IN 46260-1987. This licensed professional license is current. The license was granted 07/19/1995 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark William Anderson
Controlled Substance Registration - Dentist
License number
12009802B
Date granted
07/19/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8240 Naab Road, Suite 355, Indianapolis IN 46260-1987
indianalicensing.org
ID 5103586
LAST UPDATED 2024-04-10 05:55:00 UTC

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