Indiana
Professional Licensing Agency
Mary Helen Heintz
Controlled Substance Registration - Physician
License number
01035886B
Date granted
06/09/1987
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LUTHERAN MEDICAL PARK, 7836 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5853976
LAST UPDATED 2024-04-19 00:19:49 UTC
LAST UPDATED 2024-04-19 00:19:49 UTC
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