License holder summary

FREDRICK W HEIDENREICH is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for FREDRICK W HEIDENREICH is BOX 167 N WASHINGTON ST, BLOOMFIELD IN 47424. This licensed professional license is not current. The license was granted 07/14/1938 and expired on 03/31/1983.

Indiana

Professional Licensing Agency

FREDRICK W HEIDENREICH
Controlled Substance Registration - Dentist
License number
12004191B
Date granted
07/14/1938
Date expires
03/31/1983
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
BOX 167 N WASHINGTON ST, BLOOMFIELD IN 47424
indianalicensing.org
ID 5082720
LAST UPDATED 2024-02-04 17:03:21 UTC

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