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
LAST UPDATED 2024-03-01 01:20:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.