WALTER OCAMPO ANDERSON
Controlled Substance Registration - Physician
Indiana 01043706B Revoked
This Indiana license was held by WALTER OCAMPO ANDERSON. The license is no longer active. It was granted on 10/01/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01043706B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 10/01/1999 (over 26 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
MADISON STATE HOSPITAL, 711 GREEN ROAD, Madison IN 47250