ROBERT C HATHAWAY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090867

License Status

INACTIVE

Business

First Name

ROBERT C

Last Name

HATHAWAY

Business Name

ROBERT C HATHAWAY

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

07/31/2002

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006