License holder summary

Traci Ann Anderson is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Traci Ann Anderson is Pendleton Medical Group, 1251Huntzinger Blvd, Suite 100, Pendleton IN 46064. This licensed professional license is current. The license was granted 08/08/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Traci Ann Anderson
Controlled Substance Registration-Osteopathic Physician
License number
02003246B
Date granted
08/08/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Pendleton Medical Group, 1251Huntzinger Blvd, Suite 100, Pendleton IN 46064
indianalicensing.org
ID 5811478
LAST UPDATED 2024-02-06 01:05:26 UTC

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