License holder summary

HEINSEN FAMILY PRACTICE is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for HEINSEN FAMILY PRACTICE is 121 EAST PEARL STREET, P O BOX 338, WINAMAC IN 46996. This licensed professional license is not current. The license was granted 11/10/1971 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

HEINSEN FAMILY PRACTICE
Medical Licensing Board - Medical Corporation
License number
50000380A
Date granted
11/10/1971
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
121 EAST PEARL STREET, P O BOX 338, WINAMAC IN 46996
indianalicensing.org
ID 24835463
LAST UPDATED 2024-03-18 21:11:10 UTC

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