Indiana
Professional Licensing Agency
Therese Marie Heenan
Controlled Substance Registration-Osteopathic Physician
License number
02003467B
Date granted
02/24/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Marcotte Medical Group, 15900 W 101st Avenue, Dyer IN 46311
indianalicensing.org
ID 5798797
LAST UPDATED 2024-03-17 01:05:09 UTC
LAST UPDATED 2024-03-17 01:05:09 UTC
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