Indiana
Professional Licensing Agency
BETTY ELAINE HATHAWAY
Controlled Substance Registration - Physician
License number
01016478B
Date granted
04/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1498 SOUTH 750 WEST, ANGOLA IN 46703
indianalicensing.org
ID 5818498
LAST UPDATED 2024-04-23 16:30:55 UTC
LAST UPDATED 2024-04-23 16:30:55 UTC
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