Mary Ellen Anderson
Controlled Substance Registration - Dentist
Indiana 12009810B Active
This Indiana license is held by Mary Ellen Anderson. The license is currently active. It was granted on 10/05/1995 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009810B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/05/1995 (over 30 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
11983 Hawthorn Ridge, Fishers IN 46037
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