Mark William Anderson

Controlled Substance Registration - Dentist

Indiana  12009802B   Active

This Indiana license is held by Mark William Anderson. The license is currently active. It was granted on 07/19/1995 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009802B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/19/1995 (almost 30 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

8240 Naab Road, Suite 355, Indianapolis IN 46260-1987