License holder summary

Robert Clayton Hathaway is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Robert Clayton Hathaway is 5734 Coventry Lane, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 06/25/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Robert Clayton Hathaway
Controlled Substance Registration - Physician
License number
01040359B
Date granted
06/25/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5734 Coventry Lane, Fort Wayne IN 46804
indianalicensing.org
ID 5854369
LAST UPDATED 2024-05-17 01:05:38 UTC

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