Indiana
Professional Licensing Agency
Susan May Anderson
Controlled Substance Registration - Physician
License number
01027721B
Date granted
01/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1210 Medical Arts Blvd. #102, Anderson IN 46011-3435
indianalicensing.org
ID 5818188
LAST UPDATED 2024-03-25 19:21:39 UTC
LAST UPDATED 2024-03-25 19:21:39 UTC
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