Ronald Reed Hathaway

Controlled Substance Registration - Dentist

Indiana  12009508B   Active

This Indiana license is held by Ronald Reed Hathaway. The license is currently active. It was granted on 07/24/1992 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009508B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/24/1992 (almost 33 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

St. Vincent Medical Office Building, 10801 Michigan Road, Suite #220, Zionsville IN 46077