License holder summary

Kobjit Waran Heaton is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kobjit Waran Heaton is 1400 S. Lake Park Avenue, Suite 405, Hobart IN 46342. This licensed professional license is not current. The license was granted 04/07/2003 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Kobjit Waran Heaton
Controlled Substance Registration - Physician
License number
01057318B
Date granted
04/07/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1400 S. Lake Park Avenue, Suite 405, Hobart IN 46342
indianalicensing.org
ID 5867335
LAST UPDATED 2024-03-11 17:45:46 UTC

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