Indiana
Professional Licensing Agency
Jeffrey Alan Heise
Controlled Substance Registration - Physician
License number
01062448B
Date granted
07/11/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
801 North State St., Greenfield IN 46140
indianalicensing.org
ID 5860385
LAST UPDATED 2024-04-16 07:35:11 UTC
LAST UPDATED 2024-04-16 07:35:11 UTC
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