Taite Richard Anderson
Controlled Substance Registration - Dentist
Indiana 12011788B Active
This Indiana license is held by Taite Richard Anderson. The license is currently active. It was granted on 05/21/2012 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12011788B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 05/21/2012 (almost 12 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
Northpoint Pediatric Dentistry, 3434 Douglas Road, South Bend IN 46635
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