License holder summary

Charles Roscoe Mather is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Charles Roscoe Mather is 1815 RAVINIA ROAD, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

Charles Roscoe Mather
Controlled Substance Registration - Physician
License number
01015986B
Date granted
02/28/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1815 RAVINIA ROAD, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5933880
LAST UPDATED 2024-03-08 09:39:45 UTC

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