CARL LORISTON HEINLEIN
Controlled Substance Registration - Physician
Indiana 01019431B Revoked
This Indiana license was held by CARL LORISTON HEINLEIN. The license is no longer active. It was granted on 03/31/1981 and expired on 03/31/1982
LICENSE DETAILS
- License Number: 01019431B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 03/31/1981 (about 44 years ago)
- Expiry Date: 03/31/1982 (about 43 years ago)
LOCATIONS
A Address
637 E MAIN, DANVILLE IN 46122