Indiana
Professional Licensing Agency
Linda Hathaway
Controlled Substance Registration - Physician
License number
01059627B
Date granted
08/10/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Therapy Associates, 2227 Sherman Dr, Princeton IN 47670
indianalicensing.org
ID 5911887
LAST UPDATED 2024-03-06 03:34:41 UTC
LAST UPDATED 2024-03-06 03:34:41 UTC
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