Indiana
Professional Licensing Agency
Michael Aaron Heniser
Controlled Substance Registration-Osteopathic Physician
License number
02002961B
Date granted
07/06/2005
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Fort Wayne Medical Education Program, 2432 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5800717
LAST UPDATED 2024-02-26 09:12:09 UTC
LAST UPDATED 2024-02-26 09:12:09 UTC
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