Kenneth Paul Anderson
Controlled Substance Registration-Osteopathic Physician
Indiana 02001818C Expired
This Indiana license was held by Kenneth Paul Anderson. The license is no longer active. It was granted on 06/07/2007 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 02001818C
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/07/2007 (almost 17 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
11034 Birch Lake Dr., Granger IN 46530