License holder summary

Taite Richard Anderson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Taite Richard Anderson is 15051 Cleveland Road, Granger IN 46530. This licensed professional license is current. The license was granted 06/18/2012 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Taite Richard Anderson
Controlled Substance Registration - Dentist
License number
12011788C
Date granted
06/18/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
15051 Cleveland Road, Granger IN 46530
indianalicensing.org
ID 5098508
LAST UPDATED 2024-03-06 17:15:08 UTC

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