ERNEST ANDERSON JR
Controlled Substance Registration - Physician
Indiana 01017389B Expired
This Indiana license was held by ERNEST ANDERSON JR. The license is no longer active. It was granted on 11/30/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01017389B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1986 (over 39 years ago)
- Expiry Date: 06/30/1997 (almost 29 years ago)
LOCATIONS
A Address
1601 E PAULDING ROAD #1, FORT WAYNE IN 46816