MARK EDWARD HATFIELD

Controlled Substance Registration - Physician

Indiana  01036919C   Expired

This Indiana license was held by MARK EDWARD HATFIELD. The license is no longer active. It was granted on 07/19/1988 and expired on 06/30/1991

LICENSE DETAILS

  • License Number: 01036919C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/19/1988 (almost 37 years ago)
  • Expiry Date: 06/30/1991 (almost 34 years ago)

LOCATIONS

A Address

3801 CHADAM LANE #3 B, MUNCIE IN 47304