RUSSELL JON ANDERSON
Osteopathic Physician
Indiana 02001792A Expired Non-Renewable
This Indiana license was held by RUSSELL JON ANDERSON. The license is no longer active. It was granted on 10/24/1996 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 02001792A
- Category: Osteopathic Physician
- Status: Expired Non-Renewable
- Date Granted: 10/24/1996 (over 28 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
SOUTH BEND IN 46615