Indiana
Professional Licensing Agency
CARL LORISTON HEINLEIN
Controlled Substance Registration - Physician
License number
01019431B
Date granted
03/31/1981
Date expires
03/31/1982
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
637 E MAIN, DANVILLE IN 46122
indianalicensing.org
ID 5842464
LAST UPDATED 2024-03-09 04:47:23 UTC
LAST UPDATED 2024-03-09 04:47:23 UTC
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