Indiana
Professional Licensing Agency
William Henry Hathaway
Controlled Substance Registration - Physician
License number
01021494B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
802 N. Union St., Auburn IN 46706
indianalicensing.org
ID 5819606
LAST UPDATED 2024-03-07 22:06:22 UTC
LAST UPDATED 2024-03-07 22:06:22 UTC
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