License holder summary

Frederic Clyde Rather is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Frederic Clyde Rather is 9042 Columbia Avenue Suite A, Munster IN 46321-2905. This licensed professional license is current. The license was granted 06/20/1984 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Frederic Clyde Rather
Controlled Substance Registration - Dentist
License number
12008608B
Date granted
06/20/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9042 Columbia Avenue Suite A, Munster IN 46321-2905
indianalicensing.org
ID 5114634
LAST UPDATED 2024-03-01 01:20:15 UTC

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