Kenneth Charles Anderson
Controlled Substance Registration - Physician
Indiana 01036375B Expired
This Indiana license was held by Kenneth Charles Anderson. The license is no longer active. It was granted on 01/12/1988 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01036375B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/12/1988 (over 36 years ago)
- Expiry Date: 06/30/1999 (almost 25 years ago)
LOCATIONS
A Address
207 SPARKS AVENUE #402, JEFFERSONVILLE IN 47130