RUSSELL JON ANDERSON
Controlled Substance Registration-Osteopathic Physician
Indiana 02001792B Expired
This Indiana license was held by RUSSELL JON ANDERSON. The license is no longer active. It was granted on 11/14/1996 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 02001792B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 11/14/1996 (over 28 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
ST MARY COMMUNITY HOSPITAL, 2515 JEFFERSON, SOUTH BEND IN 46615