License holder summary

WALTER OCAMPO ANDERSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WALTER OCAMPO ANDERSON is MADISON STATE HOSPITAL, 711 GREEN ROAD, Madison IN 47250. This licensed professional license is not current. The license was granted 10/01/1999 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

WALTER OCAMPO ANDERSON
Controlled Substance Registration - Physician
License number
01043706B
Date granted
10/01/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
MADISON STATE HOSPITAL, 711 GREEN ROAD, Madison IN 47250
indianalicensing.org
ID 5887550
LAST UPDATED 2024-03-07 10:17:29 UTC

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