ROBERT C HATHAWAY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

ROBERT C

Last Name

HATHAWAY

Business Name

ROBERT C HATHAWAY

Original Issue Date

07/07/1995

Effective Date

07/07/1995

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006