Indiana
Professional Licensing Agency
Clayton B. Hathaway, Jr.
Controlled Substance Registration - Physician
License number
01019066B
Date granted
03/31/1985
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1005 NICHOLAS ST, AUBURN IN 46706
indianalicensing.org
ID 5819170
LAST UPDATED 2024-02-07 20:43:53 UTC
LAST UPDATED 2024-02-07 20:43:53 UTC
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