David Martin Anderson

Controlled Substance Registration - Physician

Indiana  01059396B   Expired

This Indiana license was held by David Martin Anderson. The license is no longer active. It was granted on 07/12/2004 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01059396B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/12/2004 (almost 21 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Address

1129 Merrillville Rd., Crown Point IN 46307