Charles Roscoe Mather

Controlled Substance Registration - Physician

Indiana  01015986B   Expired

This Indiana license was held by Charles Roscoe Mather. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/1987

LICENSE DETAILS

  • License Number: 01015986B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/28/1986 (over 39 years ago)
  • Expiry Date: 06/30/1987 (almost 38 years ago)

LOCATIONS

A Address

1815 RAVINIA ROAD, WEST LAFAYETTE IN 47906