License holder summary

KEVIN TODD HATTAWAY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KEVIN TODD HATTAWAY is JENNINGS COMMUNITY HOSPITAL, 301 S HENRY ST, NORTH VERNON IN 47265. This licensed professional license is not current. The license was granted 01/23/1997 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

KEVIN TODD HATTAWAY
Controlled Substance Registration - Physician
License number
01046089B
Date granted
01/23/1997
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
JENNINGS COMMUNITY HOSPITAL, 301 S HENRY ST, NORTH VERNON IN 47265
indianalicensing.org
ID 5907716
LAST UPDATED 2024-04-08 02:16:04 UTC

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