Indiana
Professional Licensing Agency
Rebecca Bennett Anderson
Controlled Substance Registration - Physician
License number
01065426B
Date granted
06/16/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lakeshore Bone & Joint Institute, 601 Gateway Boulevard, Chesterton IN 46304
indianalicensing.org
ID 5833845
LAST UPDATED 2024-04-14 10:15:22 UTC
LAST UPDATED 2024-04-14 10:15:22 UTC
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