License holder summary

Brad Eugene Heithoff is a Medical Residency Permit licensed to practice in Indiana. The address on file for Brad Eugene Heithoff is South Bend IN 46628. This licensed professional license is not current. The license was granted 06/18/2002 and expired on 06/30/2004.

Indiana

Professional Licensing Agency

Brad Eugene Heithoff
Medical Residency Permit
License number
11011160A
Date granted
06/18/2002
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Superceded
Address
South Bend IN 46628
indianalicensing.org
ID 5995912
LAST UPDATED 2024-03-08 18:50:06 UTC

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