CHARLES HAYNES ROBERTSON
Controlled Substance Registration - Physician
Indiana 01042195B Expired
This Indiana license was held by CHARLES HAYNES ROBERTSON. The license is no longer active. It was granted on 03/07/1994 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01042195B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/07/1994 (over 32 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
430A WEST VOTAW STREET, PORTLAND IN 47371