License holder summary

SUSAN S ANDERSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SUSAN S ANDERSON is PORTER/STARKE, 701 WALL ST, VALPARAISO IN 46383. This licensed professional license is not current. The license was granted 06/24/1993 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

SUSAN S ANDERSON
Controlled Substance Registration - Physician
License number
01041507B
Date granted
06/24/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER/STARKE, 701 WALL ST, VALPARAISO IN 46383
indianalicensing.org
ID 5929886
LAST UPDATED 2024-03-30 15:52:04 UTC

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