License holder summary

Diego Jose Heredia Vintimilla is a Physician licensed to practice in Indiana. The address on file for Diego Jose Heredia Vintimilla is Elkhart IN 46514. This licensed professional license is current. The license was granted 09/04/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Diego Jose Heredia Vintimilla
Physician
License number
01074507A
Date granted
09/04/2014
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Elkhart IN 46514
indianalicensing.org
ID 27798729
LAST UPDATED 2024-01-27 03:09:02 UTC

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