License holder summary

Russell Lee Heyde is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Russell Lee Heyde is 3250 E. Wilcox Rd., Warsaw IN 46580. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Russell Lee Heyde
Controlled Substance Registration - Dentist
License number
12005310B
Date granted
03/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3250 E. Wilcox Rd., Warsaw IN 46580
indianalicensing.org
ID 5127233
LAST UPDATED 2024-04-01 12:53:46 UTC

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